A nurse is preparing to administer timolol ophthalmic drops to a client who has glaucoma.
Which of the following actions should the nurse plan to take?
Drop prescribed amount of medication into the conjunctival sac.
Place the eyedropper gently against the sclera.
Don sterile gloves to instill the medication.
Gently rub the eye after instilling the medication.
The Correct Answer is A
Choice A rationale:
The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.
Choice B rationale:
The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.
Choice C rationale:
It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.
Choice D rationale:
Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.
Choice B rationale:
Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.
Choice C rationale:
Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.
Choice D rationale:
Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.
Correct Answer is B
Explanation
Choice A rationale:
Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.
Choice B rationale:
Applying direct pressure to the wound is the first action to take to control bleeding.
Choice C rationale:
Elevating the extremity can help control bleeding, but it is not the first action to take.
Choice D rationale:
Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.
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