Pharmacology Eye & Ear Meds #2

Question

Which action by the nurse will most impact the effectiveness of the client’s ophthalmic solution prescribed to prevent infection post cataract surgery?

Answers

  1. Teaching the client to wash their hands prior to using the ophthalmic solution
    • Rationale:

      This answer is not correct because it is not the “best” answer. Teaching the client to wash their hands is extremely important for infection prevention, but would not most impact the effectiveness of the client’s ophthalmic solution to prevent infection after cataract surgery.

  2. Teaching the client how to place the ophthalmic solution in the eye
    • Rationale:

      This answer is correct because ophthalmic drops need to be properly instilled to be effective. This is especially important when antibiotics and intraocular pressure-lowering drops are prescribed. Permanent vision loss and systemic infection can occur if the prescribed medication is not properly placed in the eye. Proper placement techniques with return demonstration is important. The nurse’s role in teaching how to instill eye drops can not be overemphasized.

  3. Teaching the client to wear the eye patch during sleeping hours
    • Rationale:

      This answer is not correct because teaching the client to wear an eye patch during sleeping is not the most likely instruction to impact the effectiveness of the client’s ophthalmic solution to prevent infection after cataract surgery. Eye patches help prevent trauma and the client rubbing the eye during sleep so it can help assist in preventing infection but is not the best answer.

  4. Teaching the client the importance of returning for the follow up visit
    • Rationale:

      This answer is not correct because although returning for a follow up appointment helps increase a positive outcome after cataract surgery, it is not the best answer as the instruction that will most impact effectiveness of the client’s ophthalmic solution to prevent infection after cataract surgery.

Overview

Proper installation of ophthalmic drops is essential to effectiveness. If the drop is not properly instilled, the medication will not be able to do what it is designed to do.

Explanation

Learning Outcomes

Ophthalmic drops need to be properly instilled to be effective. This is especially important when antibiotics and intraocular pressure lowering drops are prescribed. Permanent vision loss and systemic infection can occur if the prescribed medication is not properly placed in the eye. Proper placement techniques with return demonstration is important. The nurse’s role in teaching how to instill eye drops can not be overemphasized.

Test Taking Tip

Be sure to read and reread the question carefully to choose the best answer for the question the stem is asking. Remember, there will be great distractions that will be answering other questions that are not being addressed. Read the question.

Video Rationale