The nurse is providing teaching for a patient who will begin using tobramycin ointment (Nebcin) 0.5 inches 3 times daily. The patient currently uses pilocarpine HCl (Isopto Carpine) drops to treat glaucoma
Which statement by the patient indicates a need for further teaching?
a. "I should apply the third dose of tobramycin at bedtime each day."
b. "I should instill the drops in the conjunctival sac of the lower eyelid."
c. "I should not stop the medications without consulting my provider."
d. "I should put the ointment on first and then instill the eyedrops."
ANS: D
Patients using both drops and ointments should instill the drops prior to applying the ointment. Ointments should be applied at bedtime if possible. Drops should be instilled into the conjunctival sac of the lower lid. Patients should always consult with their provider before discontinuing any medication.
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