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 D
Explanation
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.

Correct Answer is B
Explanation
Rifampin can cause body fluids such as urine, sweat, saliva, and tears to turn a reddish-orange color. This is a harmless side effect and is not a cause for concern. The nurse should instruct the client to expect this change in color while taking the medication.

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