A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
"Apply the ointment in a thin line into the conjunctival sac."
"Keep your eye open for 30 sec after instilling the ointment."
"Use a sterile glove and applicator to apply the antibiotic ointment."
"Always wipe from the outer to the inner canthus when wiping away secretions."
The Correct Answer is A
A) "Apply the ointment in a thin line into the conjunctival sac":
This instruction is correct for applying ophthalmic ointments. Placing the ointment in a thin line along the conjunctival sac ensures proper distribution and contact with the affected area.
B) "Keep your eye open for 30 sec after instilling the ointment":
Keeping the eye open for a brief period after instillation helps the ointment spread across the eye surface. This statement indicates understanding of the proper technique for applying ophthalmic ointments and does not require further instruction.
C) "Use a sterile glove and applicator to apply the antibiotic ointment":
Using a sterile glove and applicator ensures that the application is done in a sterile manner, reducing the risk of introducing further infection. This statement indicates a need for further instruction, as ophthalmic ointments are typically applied using clean hands or disposable, sterile applicators rather than sterile gloves.
D) "Always wipe from the outer to the inner canthus when wiping away secretions":
Wiping from the outer to the inner canthus helps prevent contamination of the unaffected eye. This statement demonstrates understanding of proper eye care techniques and does not require further instruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) "Take the medication with meals":
Rifampin should ideally be taken on an empty stomach, as food can interfere with its absorption. Taking it with meals may decrease its effectiveness. Instructing the client to take rifampin at least 1 hour before or 2 hours after meals ensures optimal absorption and effectiveness of the medication.
B) "Purified protein derivative skin test results will improve in 3 months":
Rifampin does not affect the results of the purified protein derivative (PPD) skin test for tuberculosis. The PPD test measures the immune response to tuberculosis infection and is not influenced by rifampin therapy. It's important to clarify that the PPD test is used for diagnosis and monitoring of tuberculosis infection, not as a marker for medication effectiveness.
C) "Urine and other secretions will turn orange":
This is a common and harmless side effect of rifampin. It can cause discoloration of urine, sweat, tears, and other secretions to an orange-red color. Informing the client about this side effect prevents unnecessary concern and ensures they are aware of what to expect while taking rifampin.
D) "Expect to have insomnia while taking this medication":
Insomnia is not a common side effect of rifampin. Rifampin can cause other side effects such as gastrointestinal upset, hepatotoxicity, and flu-like syndrome, but insomnia is not typically reported. It's important to educate the client about potential side effects that are more commonly associated with rifampin therapy.
Correct Answer is D
Explanation
A) Shave excess hair from skin before applying a nitroglycerin patch:
Shaving excess hair is not necessary for applying a nitroglycerin patch. The patch should be applied to a clean, dry, and hairless area of skin to ensure proper adhesion and absorption of medication.
B) Keep a nitroglycerin patch in place 24 hr per day:
Nitroglycerin patches are typically worn for a specified period (usually 12 to 14 hours) and then removed for a "patch-free" interval to prevent tolerance development. Continuous use can lead to tolerance, reducing the effectiveness of the medication.
C) Put a second patch in place if angina pain occurs:
Applying a second nitroglycerin patch is not recommended without consulting a healthcare provider. Increasing the dosage of nitroglycerin without proper medical advice can lead to hypotension and other adverse effects. The client should follow the prescribed regimen and seek medical assistance if angina pain is not relieved.
D) Fold used patch with medication area to the inside and discard in a closed receptacle:
This is the correct instruction. Used nitroglycerin patches should be folded with the adhesive side together (medication area inside) to prevent accidental exposure and disposed of in a closed receptacle. This helps ensure safe disposal and prevents unintentional contact with the medication by others.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.