A nurse is teaching a new mother about erythromycin eye ointment for her newborn.
What should the nurse include in the teaching? (Select all that apply)
The ointment may cause minor ocular irritation or redness that lasts for 24-48 hours
The ointment may cause temporary blurred vision that affects the newborn’s ability to see
The ointment may increase the risk of bleeding if the newborn is also given vitamin K injection
The ointment is required by law in all states of the United States to prevent eye infections in newborns
The ointment should be administered within 1-2 hours of birth to be effective.
Correct Answer : A,E
The correct answer is choice A and E. The ointment should be administered within 1-2 hours of birth to be effective and may cause minor ocular irritation or redness that lasts for 24-48 hours.
Choice B is wrong because the ointment does not affect the newborn’s ability to see. The ointment may cause temporary blurred vision, but this does not impair the newborn’s vision development.
Choice C is wrong because the ointment does not increase the risk of bleeding if the newborn is also given vitamin K injection. Vitamin K injection is given to prevent bleeding disorders in newborns and has no interaction with erythromycin ointment.
Choice D is wrong because the ointment is not required by law in all states of the United States to prevent eye infections in newborns.
Some states have laws that mandate the use of erythromycin ointment for newborns, but others do not. However, it is recommended by the American Academy of Pediatrics and the Centers for Disease Control and Prevention as a standard of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
The correct answer is choice A and E.The ointment should be administered within 1-2 hours of birth to be effective and may cause minor ocular irritation or redness that lasts for 24-48 hours.
Choice B is wrong because the ointment does not affect the newborn’s ability to see.The ointment may cause temporary blurred vision, but this does not impair the newborn’s vision development.
Choice C is wrong because the ointment does not increase the risk of bleeding if the newborn is also given vitamin K injection.Vitamin K injection is given to prevent bleeding disorders in newborns and has no interaction with erythromycin ointment.
Choice D is wrong because the ointment is not required by law in all states of the United States to prevent eye infections in newborns.
Some states have laws that mandate the use of erythromycin ointment for newborns, but others do not.However, it is recommended by the American Academy of Pediatrics and the Centers for Disease Control and Prevention as a standard of care.
Correct Answer is B
Explanation
The correct answer is choice B. 0.5 cm.According to the PEDIATRIC NEWBORN MEDICINE CLINICAL PRACTICE GUIDELINES, a thin strip of erythromycin eye ointment should be applied to the lower conjunctival sac of each eye of the newborn within 24 hours after birth.
The length of the strip should be approximately 0.5 cm (or 1/4 inch).This is done to prevent neonatal conjunctivitis, also known as ophthalmia neonatorum, which is a serious eye infection caused by bacteria such as Neisseria gonorrhoeae.
Choice A is wrong because 0.25 cm is too short and may not provide adequate coverage of the eye.
Choice C is wrong because 1 cm is too long and may cause excessive ointment to spill out of the eye.
Choice D is wrong because 2 cm is way too long and may cause irritation and discomfort to the eye.
The normal range for erythromycin eye ointment application is 0.5 cm to 1 cm, but the recommended dose is 0.5 cm.
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