A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?
Remove secretions by wiping from the outer corner of the eye to the inner canthus.
Clean the eye with a moist cloth.
Keep the eye covered with a compress.
Apply eye ointment in the morning.
The Correct Answer is B
A. Wiping from the outer corner of the eye to the inner canthus is incorrect because this can introduce bacteria from the outer part of the eye into the inner part, which could exacerbate the infection. The proper technique is to wipe from the inner canthus to the outer canthus to prevent contamination.
B. Cleaning the eye with a moist cloth is appropriate for conjunctivitis as it helps remove secretions and crusts that accumulate. Using a clean, moist cloth minimizes irritation to the eye.
C. Keeping the eye covered with a compress is not recommended unless directed by a provider. Compresses could increase irritation or harbor bacteria if not kept clean.
D. Applying eye ointment in the morning is not optimal because ointment should generally be applied at night to prevent blurred vision during the day. The nurse should advise applying it as prescribed by the healthcare provider.
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Related Questions
Correct Answer is D
Explanation
A. Performing a head tilt and chin lift is typically used in resuscitation for unresponsive infants, not for choking. It is not effective in clearing an obstructed airway in a conscious or choking infant.
B. Placing the infant in a side-lying position and performing abdominal thrusts is incorrect. Abdominal thrusts are not recommended for infants. Back blows and chest thrusts are used to clear an infant's airway.
C. Suctioning with a bulb syringe is appropriate for clearing mucus or secretions from the airway, but it would not be effective for a choking infant. The first action should be to attempt back blows or chest thrusts.
D. Delivering back blows with the infant face down over the rescuer’s arm is the correct initial action. The infant should be supported by the arm, and back blows should be administered to try to expel the obstruction from the airway. This is the first step in the infant choking protocol.
Correct Answer is A
Explanation
A. Encouraging the family to involve siblings in the care of the terminally ill child is important for fostering family support, allowing siblings to understand the situation, and promoting emotional bonding.
B. Avoiding discussions about death is not recommended. It is important to communicate with the child about death in an age-appropriate manner to help them understand and cope with the situation.
C. While monitoring vital signs is important, it is not the most therapeutic intervention in the final stages of terminal illness. Comfort care, including pain management and emotional support, takes priority.
D. Passive range of motion is not essential for a child in the final stages of terminal illness unless necessary for specific comfort or mobility needs. Care should focus on comfort measures rather than routine interventions.
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