A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?
Ask the client to look down when instilling the solution.
Instil the drops into the superior canthus.
Approach the client’s eye from below it.
Hold the ophthalmic solution 2 cm (3/4 inch) above the lower conjunctival sac.
The Correct Answer is D
When administering ophthalmic drops, the nurse should hold the dropper 2 cm (3/4 inch) above the lower conjunctival sac and instill the prescribed number of drops into the sac. The client should be instructed to look up and away from the dropper while the drops are being instilled.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
Correct Answer is C
Explanation
Sublingual and buccal medications are rapidly absorbed because they are placed under the tongue or between the cheek and gum, where they dissolve and are absorbed directly into the bloodstream through the mucous membranes in the mouth. This allows for rapid absorption and bypasses the liver’s first-pass metabolism.
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