Health Promotion and Maintenance
68. A nursing student prepares to administer eyedrops to a young child. What action by the nursing student should cause a registered nurse to intervene?
Health Promotion and Maintenance
68. A nursing student prepares to administer eyedrops to a young child. What action by the nursing student should cause a registered nurse to intervene?
. The student positions the child supine with head extended.
. After administration, the student asks the child to close eyes and move them around.
. The student schedules medication administration to occur just before lunchtime.
. Prior to administration, the student pulls the lower lid down, forming a sac.
Test-Taking Tip
Look for the action that is not okay and therefore needs an intervention.
Content Area: Child Health, Medication Administration; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
Health Promotion and Maintenance
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Answer 1 is incorrect because this is proper positioning for the child receiving an optic medication. Answer 2 is incorrect because the child should be instructed to close the eyelids while moving the eyes around so as to better distribute the medication. Answer 3 is correct because eyedrops should be administered when they are least likely to interfere with an activity that requires effective vision. A nurse should intervene and advise the student that the child should eat lunch first. Answer 4 is incorrect because this is proper technique for the administration of eyedrops.