The nurse is preparing to administer an opthalmic medication. Which step is critical for the nurse to perform when administering this type of medication?
1. Touching the eye with the medication
2. Wearing gloves when administering eye medications
3. Using the index finger to hold open the eye
4. Using two fingers to open the eyelids
Correct Answer: 2
It is critical for the nurse to wear gloves when administering eye medications as touching the eye with bare hands can increase the risk of infection. It is never appropriate to touch the eye with the medication. Using the index finger or two fingers to hold open the eye or eyelids is not appropriate technique.
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A male client is diagnosed with primary syphilis. Which question by the nurse is a priority at this time?
a. "Have you been using latex condoms?" b. "Are you allergic to penicillin?" c. "When was your last sexual encounter?" d. "Do you have a history of sexually transmitted disease?"
The nurse analyzes the results of a patient's arterial blood gases (ABGs). Which finding would require immediate action?
a. The bicarbonate level (HCO3–) is 31 mEq/L. b. The arterial oxygen saturation (SaO2) is 92%. c. The partial pressure of CO2 in arterial blood (PaCO2) is 31 mm Hg. d. The partial pressure of oxygen in arterial blood (PaO2) is 59 mm Hg.
The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. The nurse would expect to see
1. a red reflex. 2. yellow sclera. 3. a white pupil. 4. blue-tinged sclera.
What did the Institute of Medicine recommend in 2004 in regard to one of the current political arguments in relation to health care?
A. All citizens should receive free health care as needed by 2025. B. Community-based nursing care focused on health promotion should be freely available. C. Health insurance should be available to all people in the United States by 2010. D. Socialized medicine should be created for all citizens.