/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 395 A 10-year-old child is diagnosed... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

A 10-year-old child is diagnosed in the pediatric clinic with conjunctivitis (pink eye) and an antibiotic eye ointment is ordered. Which instruction is appropriate for the nurse to give the mother in regard to the administration of the eye ointment? A. Place the ointment directly on the pupil B. Have the child apply the ointment by himself C. Ask the child to close his eyes and spread the ointment on the lids D. Pull the lower lid down and place the ointment into this "sack"

Short Answer

Expert verified
Pull the lower lid down and place the ointment into this 'sack' (D) is the appropriate instruction for the nurse to give the mother.

Step by step solution

01

Identify Correct Procedure

It is important when administering eye ointment to place it where it can both stay in place and deliver the medication effectively without causing discomfort or harm. Placing ointment directly on the pupil (A) can be irritating and is not the correct method. Having a 10-year-old child administer the ointment by themselves (B) may not ensure correct dosage and placement. Asking the child to close his eyes and spreading the ointment on the lids (C) might not allow the medicine to get into the eye where it is necessary.
02

Understand the Correct Administration Site

The most effective and safe part of the eye to place ointment is in the conjunctival sac, or the lower eyelid 'sack.' This allows the ointment to spread evenly over the eye when the child closes and moves their eye around, without the risk of causing undue irritation or poking the eye.
03

Provide Clear Instructions

The mother should be advised to wash her hands, gently pull down the child's lower eyelid to create a 'sack,' and then apply the ointment inside this area. The child should then close their eye to spread the ointment across the surface internally.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Conjunctivitis Treatment
Conjunctivitis, commonly known as pink eye, is an inflammation or infection of the outer membrane of the eyeball and the inner eyelid. Treatment typically involves maintaining eye hygiene and the use of antibiotic eye ointments or drops if the condition is bacterial.

For successful treatment, it is imperative that the ointment be placed correctly within the conjunctival sac to ensure it spreads over the eye's surface and does not irritate or damage the sensitive tissues. A pea-sized amount is squeezed into the sac, and the child's blinking action distributes the medication over the eye.

Instructing the caregiver on the correct administration technique is crucial in pediatric cases. The steps include: hand washing, tilting the child's head back, pulling down the lower eyelid to form a 'pocket,' and carefully dispensing the ointment without touching the tip to the eye or skin, to prevent contamination.
Pediatric Nursing Care
The field of pediatric nursing care involves a sensitive approach tailored to the unique needs of children. In the context of administering eye ointment, it requires a nurse to combine clinical expertise with soothing communication to ease the child's discomfort and ensure the cooperation of both the child and their parent.

Effective Communication and Education

For pediatric nursing, conveying instructions in a family-centered manner is crucial. Educating the parent on the administration process, and its importance is a vital aspect. A nurse might advise ways to distract the child, ensuring the experience is as stress-free as possible.

Pain Management

Fostering trust and minimizing fear are also essential; if a child associates treatment with pain, it may become more difficult on subsequent occasions. The nurse might involve playing a part in distraction techniques or providing comfort if the child experiences any discomfort.
NCLEX-RN Examination Preparation
Preparing for the NCLEX-RN (National Council Licensure Examination for Registered Nurses) involves a comprehensive understanding of nursing practices, including pediatric care.

Those studying for the examination should be familiar with the steps for administering medications to pediatric patients. Scenario-based questions are common, and understanding the rationale behind each step can help test-takers pick the correct answer.

Test-preparation resources often include practice questions that mimic the style of the NCLEX. Simulating the exam conditions by practicing these questions can help build confidence. Key strategies for NCLEX-RN success include a thorough review of pediatric nursing protocols, infection control measures, and effective communication with patients and their families.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

When assessing a client in the emergency room, which finding should be interpreted as a major indicator of acute pancreatitis? A. Positive Cullen’s sign. B. Postprandial elevated serum amylase. C. Decreased pancreatic secretion with secretin stimu- lation. D. Midepigastric pain worsened by fasting.

When doing an intake assessment on the older adult, which factor should the nurse consider? The older adult A. responds with increased emotion to questions related to family history. B. often has diminished auditory acuity and may impede communication. C. is uncomfortable with the physical assessment because of multiple physical changes. D. has an increased response to pain requiring extreme caution with the physical assessment.

Which finding when reviewing the record of an elderly client would the nurse interpret as a normal occurrence with aging? A. Very concentrated urine B. Microscopic hematuria C. Occasional urinary incontinence D. Decreased glomerular filtration rate

A client has had a PICC line for 2 weeks which is being used for intermittent infusion of an antibiotic. Between uses, the PlCC line is heparinized and locked. The nurse is ready to administer the PM dose of antibiotic. The nurse flushes the line which flushes easily, but is unable to aspirate blood. The nurse should: A. administer the medication as planned. B. ask for x-ray verification of the PICC placement. C. discontinue this PICC line and insert a new PICC line, D. hold the dose until the physician sees the client in the AM.

A nurse is preparing to teach a newly diagnosed diabetic about the disease. Which is the initial step the nurse should take? A. Identify the client's willingness to learn. B. Find out what the client knows about the disease. C. Determine the client's level of formal education. D. Select written material available for the client's use.

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.