The nurse is supervising the student nurse in the irrigation of the patient’s right eye. Which action by the student nurse prompts the nurse to intervene with additional education?

Holds the bottle tip 3 inches from the patient’s eye. The nurse intervenes if the student nurse holds the bottle tip 3 inches from the patient’s eye and instructs the student to hold the bottle tip 1 inch from the patient’s eye. Holding the bottle too far away increases the velocity at which the fluid lands in the eye, which can result in pain. The student nurse would be correct to warm the irrigation solution, position the patient with the head leaning right, and perform hand hygiene and don clean gloves prior to opening the bottle.

The nurse is supervising the student nurse in the irrigation of t...

NCLEX Practice
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Basic Care and Comfort
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Category: Basic Care and Comfort
Difficulty: 6

Topics: Communication & Documentation Delegation, Prioritization and Leadership HEENT Routes of Administration

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