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Care of the Eye and EarN

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Chapter 19: Care of the Eye and Ear MULTIPLE CHOICE 1. The nurse decides that assistive personnel can provide care to a patient with contact lenses when the assistive personnel states: a. “If ... I am in a hurry, I will use tap water for rinsing the lenses.” b. “Gloves aren’t necessary; the eye is a clean organ.” c. “I will check with the patient to see if the lenses are disposable.” d. “It is normal for contact lens wearers to have red, teary eyes.” ANS: C Let the patient be a resource in the care of each device. Although it is the nurse’s responsibility to ensure that patients do not damage their devices or injure themselves, patients familiar with their devices are likely to have an established routine and helpful tips. The replacement schedule is determined by the type of lenses the patient wears; the patient can provide that information. Tap water can contain microorganisms and may be absorbed into the lens, making it uncomfortable to wear. Clean, powder-free gloves are used to prevent the spread of microorganisms during care of contact lenses. Pain, tearing, discomfort, and redness can indicate conjunctivitis and should be referred to the patient’s provider if symptoms persist. 2. When providing eye care for the comatose patient, the nurse should: a. place the patient in a prone position for easier access. b. use a different corner of the washcloth for each eye. c. wipe each eye from outer to inner canthus. d. use a sterile medicine cup to instill lubricant. ANS: B Use a separate, clean cotton ball or corner of the washcloth for each eye. Place the patient in supine position. Gently wipe each eye from inner to outer canthus. Use an eyedropper to instill the prescribed lubricant (e.g., saline, methylcellulose, liquid tears) as ordered. [Show More]

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