A nurse is preparing to administer eye drops to a child.
Which of the following actions should the nurse take?
Apply pressure to the lacrimal punctum after administering the drops.
Position the child side-lying on the bed before administering the drops.
Wipe from the outer to the inner canthus after administering the drops.
Flush the eye with normal saline solution before administering the drops.
The Correct Answer is A
a. Apply pressure to the lacrimal punctum after administering the drops.
When administering eye drops to a child, the nurse should apply gentle pressure to the lacrimal punctum (the small opening in the inner corner of the eye) after administering the drops. This can help prevent the medication from draining into the tear duct and being absorbed into the bloodstream, which can reduce systemic side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
c. Diminished pulses on the affected extremity. This finding may indicate compromised circulation, which is
a serious complication that requires immediate intervention.
Option a. Ecchymosis on the inner left thigh may be a concerning finding, but it is not as urgent as diminished pulses. Ecchymosis may be a result of trauma during cast application, and may resolve on its own.
Option b. One fingerbreadth of space between the cast and the skin is a normal finding and indicates that the cast is not too tight.
Option d. Client report of muscle spasms of the left leg is a common complaint in clients with casts and may
be addressed with medication or other interventions, but it is not as urgent as diminished pulses. Therefore, the priority finding in this scenario is c. Diminished pulses on the affected extremity.
Correct Answer is D
Explanation
Choice A Reason:
Applying antibiotic ointment is typically not recommended after a Plastibell circumcision, as it may interfere with the natural healing process.
Choice B Reason:
Ensuring that the baby's diaper is applied snugly can potentially cause friction and discomfort around the circumcision site. It's generally recommended to use loose-fitting diapers to avoid irritation.
Choice C Reason:
Wiping away yellow crusts (scabs) that form around the incision is not advised, as this can disrupt the healing process. It's best to let these crusts fall off naturally as the area heals.
Choice D Reason:
"I will apply pressure with gauze if I see bleeding." This statement by the parent indicates an understanding of circumcision care following a Plastibell circumcision. Applying gentle pressure with gauze if bleeding occurs is an appropriate response to manage bleeding and promote clotting at the circumcision site.
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