ATI PN Fundamentals 2020 NGN Exam 1
ATI PN Fundamentals 2020 NGN Exam 1 ( 51 Questions)
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the following instructions should the nurse include?
"You will need to look to the side when you put the drops in your eye." This is the correct choice. Looking to the side helps to create a pocket between the eyeball and eyelid, which prevents the drops from immediately spilling out and allows the medication to be absorbed effectively.
"You should put the drops directly in the center of your eyeball." Placing drops directly in the center of the eyeball can cause discomfort and may lead to less effective medication absorption. The goal is to place the drops in the conjunctival sac, which is the space between the eyeball and the lower eyelid.
"You should cleanse your eye from the inner to the outer edge prior to putting in the drops." While it's important to keep the eye area clean, cleansing from the inner to the outer edge isn't directly relevant to administering ophthalmic drops. Proper hand hygiene and avoiding contamination of the dropper tip are more crucial to prevent infection.
"You should avoid pressing on your tear duct after putting the drops in your eye." Avoiding pressure on the tear duct after instilling drops is a key point. Pressing on the tear duct can cause the medication to drain into the nasal passages, reducing its effectiveness. Therefore, this instruction is valid, but it's not the primary focus of proper administration.
The correct answer is choice A: "You will need to look to the side when you put the drops in your eye."
Choice A rationale:
"You will need to look to the side when you put the drops in your eye." This is the correct choice. Looking to the side helps to create a pocket between the eyeball and eyelid, which prevents the drops from immediately spilling out and allows the medication to be absorbed effectively.
Choice B rationale:
"You should put the drops directly in the center of your eyeball." Placing drops directly in the center of the eyeball can cause discomfort and may lead to less effective medication absorption. The goal is to place the drops in the conjunctival sac, which is the space between the eyeball and the lower eyelid.
Choice C rationale:
"You should cleanse your eye from the inner to the outer edge prior to putting in the drops." While it's important to keep the eye area clean, cleansing from the inner to the outer edge isn't directly relevant to administering ophthalmic drops. Proper hand hygiene and avoiding contamination of the dropper tip are more crucial to prevent infection.
Choice D rationale:
"You should avoid pressing on your tear duct after putting the drops in your eye." Avoiding pressure on the tear duct after instilling drops is a key point. Pressing on the tear duct can cause the medication to drain into the nasal passages, reducing its effectiveness. Therefore, this instruction is valid, but it's not the primary focus of proper administration.