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 B
Explanation
Choice A rationale:
This statement is incorrect because the heart has four chambers: two atria and two ventricles.
Choice B rationale:
This statement is correct. The heart has two large chambers called ventricles that pump blood out of the heart.
Choice C rationale:
This statement is incorrect because the ventricles are the larger chambers of the heart, not the smaller ones.
Choice D rationale:
This statement is incorrect because the atria are the smaller chambers of the heart, not the larger ones.
Correct Answer is D
Explanation
Choice A rationale:
Creating a 6 mm (1/4 in) bleb in the intradermal space of the forearm is the correct procedure for a Mantoux tuberculin skin test.
Choice B rationale:
Visualizing the tip of the needle under the skin is the correct procedure for a Mantoux tuberculin skin test.
Choice C rationale:
Stretching the skin tightly before injection is the correct procedure for a Mantoux tuberculin skin test.
Choice D rationale:
Withdrawing the needle and massaging the site gently is incorrect. Massaging the site can cause the test solution to disperse, which can affect the test results.
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