A nurse is preparing to administer eye drops to a client. Which of the following nursing actions is appropriate?
Have the client tilt her head slightly so that the medication enters the nasolacrimal duct.
Gently wash away any exudate along the eyelid margin from the outside towards the inner canthus.
Use aseptic technique and drop the medication into the conjunctival sac.
Drop prescribed number of drops onto the cornea.
The Correct Answer is C
A. Tilted head position facilitates drainage into the nasolacrimal duct, not necessarily into the eye.
B. Washing away exudate is not necessary before administering eye drops.
C. Using aseptic technique to drop medication into the conjunctival sac ensures proper delivery of the medication to the eye.
D. Dropping medication onto the cornea can cause discomfort and may not effectively reach the eye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While understanding HIPAA regulations is important, addressing the immediate inappropriate behavior takes precedence.
B. While directing the conversation to a private area is appropriate, stopping the discussion immediately is the priority.
C. The priority is to stop the discussion immediately to prevent further breach of confidentiality.
D. While informing about potential liability for breaching confidentiality is important, addressing the immediate behavior is the priority.
Correct Answer is D
Explanation
A. Portable suction may be needed for some infants but is not specifically indicated for tetralogy of Fallot.
B. A cervical collar is used for neck support in patients with suspected cervical spine injuries and is not indicated for tetralogy of Fallot.
C. A hemodialyzer is used for renal replacement therapy and is not indicated for tetralogy of Fallot.
D. A pulse oximeter is essential for monitoring oxygen saturation levels in infants with tetralogy of Fallot, as they may experience cyanosis and hypoxemia. Monitoring oxygen saturation helps guide interventions and management.
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