Difficulty: Medium
Average Score: 70%
Simulated
A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?
Correct answer
D
Rationale
The correct answer is D: Hold the ophthalmic solution 2 cm (3/4 inch) above the lower conjunctival sac. This is the correct action because it allows the drops to be instilled accurately into the eye without touching the eye or eyelashes, reducing the risk of contamination. Holding the solution at the correct distance ensures proper delivery into the lower conjunctival sac for optimal absorption.
Choice A is incorrect because asking the client to look down is not necessary for administering ophthalmic solution. Choice B is incorrect because instilling drops into the superior canthus can lead to improper absorption. Choice C is incorrect as approaching the eye from below may increase the risk of contamination.
Choice A is incorrect because asking the client to look down is not necessary for administering ophthalmic solution. Choice B is incorrect because instilling drops into the superior canthus can lead to improper absorption. Choice C is incorrect as approaching the eye from below may increase the risk of contamination.