The nurse is administering ophthalmic drops to a client with an eye infection. Put the following nursing interventions in order, from first to last. (Separate letters by a comma and space as fol-lows: a, b, c, d.)
a. Recheck the five Rs and the expiration date of the drug.
b. Put on gloves.
c. Have the client tilt the head backward.
d. Wash your hands.
e. Pull the lower eyelid downward and instill the medication into the conjunctival sac.
f. Instruct the client to close the eyes gently without squeezing the eyelids together.
d, b, a, c, e, f
Medication checking of the five Rs the first time is always the first step, followed by handwash-ing and gloving because of the risk for secretions. Rechecking the five Rs right before giving the medication, which is actually the third time that the five Rs are checked, is critical for maintain-ing safety. The nurse has the client tilt the head back, prepare the eye, give the drug, and have the client gently close the eye.
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