Nurse Errol is administering 2 drops of medication in OS prior to ophthalmic surgery. Which interventions should he implement? Select all that apply.
A. Instructing the client to lookup prior to administering the medication.
B. Administering the medication into the right eye.
C. Administering the medication into the upper conjunctiva.
D. Pulling the left ear up and back prior to administering the medication.
E. Wiping the excess medication from the inner to the outer canthus.
F. Pressing on the nasal-lacrimal canal.
Correct Answers: A, E, F
The nurse is administering medication into the left eye (OS) for ophthalmic surgery, which includes instructing the client to look up, administering the medication into the lower conjunctiva, pressing on the nasal-lacrimal canal to prevent systemic drug absorption, and wiping excess secretions with a sterile cotton ball from the inner to outer canthus.
Option A: Tilt the client’s head back slightly and lookup. Some people find it helpful to focus on a specific point on the ceiling. It might help to tape a photo or clipping from a magazine to the ceiling so that the eyes can focus on it.
Option B: The abbreviation for left eye is OS. The abbreviation for the right eye is OD and both eyes are OU. Make sure that the medication is administered to the right eye to prevent any side effects on the good eye.
Option C: Remove the cap of the eye drop medication but do not touch the dropper tip. Hold the dropper tip directly over the eyelid pocket. Squeeze the bottle gently and let the eye drop fall into the pocket.
Option D: Pulling the ear up and back is used to administer ear drops to an adult client. In administering eye drops, use one hand to pull your lower eyelid down, away from the eye. This forms a pocket to catch the drop. Don’t touch the bottle to the eye or eyelid. This can give bacteria or other contaminants a chance to grow in the eye drops.
Option E: Use clean tissues to wipe off any extra ointment around the eye. Wipe the top of the tube before replacing the cap. It’s important that the tip of the tube never touches anything.
Option F: Apply gentle pressure to the nasal-lacrimal canal or the tear ducts, where the eyelid meets the nose. Hold the tear ducts closed for a minute or two—or as long as the ophthalmologist recommends—before opening the eyes. This will give the drop time to be absorbed by the eye, instead of draining into the nose.
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