RN HESI Paediatrics Exam 2
RN HESI Paediatrics Exam 2 ( 53 Questions)
The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antiinfective ointment. Which instruction should the nurse provide the child's caregivers during discharge education?
Discontinuing the ointment once drainage resolves is not the correct instruction. It's important to complete the full course of prescribed ophthalmic antiinfective ointment as directed by the healthcare provider, even if the symptoms improve, to ensure that the infection is completely treated.
Instructing caregivers to remove secretions by wiping toward the opposite eye is not appropriate. When cleaning the eye, it's important to wipe from the inner corner of the eye (near the nose) outward to prevent any potential contamination from one eye to the other.
Using a disposable moist wipe to remove eye crusts is the correct instruction. This helps prevent contamination and injury to the eye while gently cleaning away any crusting and purulent discharge. Caregivers should use a fresh, clean wipe for each eye and dispose of it properly.
Preparing the child for blurry vision after ointment application is not a necessary instruction in this case. While some ointments may temporarily cause blurry vision due to their consistency, this is not the primary concern for the caregiver's education in this scenario. The main focus should be on proper hygiene and administration of the ointment.
A. Discontinuing the ointment once drainage resolves is not the correct instruction. It's important to complete the full course of prescribed ophthalmic antiinfective ointment as directed by the healthcare provider, even if the symptoms improve, to ensure that the infection is completely treated.
B. Instructing caregivers to remove secretions by wiping toward the opposite eye is not appropriate. When cleaning the eye, it's important to wipe from the inner corner of the eye (near the nose) outward to prevent any potential contamination from one eye to the other.
C. Using a disposable moist wipe to remove eye crusts is the correct instruction. This helps prevent contamination and injury to the eye while gently cleaning away any crusting and purulent discharge. Caregivers should use a fresh, clean wipe for each eye and dispose of it properly.
D. Preparing the child for blurry vision after ointment application is not a necessary instruction in this case. While some ointments may temporarily cause blurry vision due to their consistency, this is not the primary concern for the caregiver's education in this scenario. The main focus should be on proper hygiene and administration of the ointment.