The nurse is administering ophthalmic drops to a client with an eye infection. Put the following nursing interventions in order from first to last.
A. Recheck the 5 Rs and expiration date of the drug.
B. Don gloves.
C. Have the client tilt the head backward.
D. Explain the procedure to the client.
E. Wash your hands.
F. Pull the lower eyelid downward and give Rx into the conjunctival
sac.G. Instruct the client to close the eyes gently without squeezing the eyelids together.
H. Document the medication.
E, B, D, A, C, F, G, H
Rationale: Medication checking of the 5 Rs the first time is always the first step, followed by handwashing and gloving due to risk for secretions. Rechecking the 5 Rs right before giving the medication, which is actually the third time the 5 Rs are checked, is critical to maintain safety. Now the nurse is ready to actually explain the procedure, have the client tilt the head back, pre-pare the eye, give the drug, and have the client gently close the eye. Documentation occurs last.
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