During a bed bath a client complains of drainage from the eye. Which guideline should the nurse follow when removing secretions from the eye?
A) Wash the eye area after washing other parts of the body.
B) Wipe the client's eyelid with a cotton ball soaked in antiseptic solution.
C) Moisten a clean washcloth and cleanse from the inner canthus to the outer.
D) Wipe both the eyes using different corners of the same mitt.
C
Feedback:
The nurse should moisten a clean washcloth and cleanse from the inner canthus to the outer to move debris away from the eye, prevent reinfection or contamination of the eye, and protect the tear ducts. The eye area should be washed before, not after, washing any other part of the body to avoid introducing harmful microorganisms into the sensitive eye tissues. The nurse should wipe the client's eyelid with cotton balls soaked in sterile water or normal saline, if ordered, and not with antiseptic solution to avoid damage to the sensitive eye tissues. It is important to use separate supplies for each eye. This helps to prevent spreading infection between the eyes.
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