Page 1976 - Saunders Comprehensive Review For NCLEX-RN

safely; adaptive devices that position the bottle of eye
drops directly over the eye can also be purchased if
instillation is difficult for the client.
11. Instruct the client to read the medication labels
carefully to ensure administration of the correct
medication and correct strength.
12. Remind the client to keep these medications out of the
reach of children.
13. Instruct the client to avoid driving or operating
hazardous equipment if vision is blurred.
14. Inform the client that she or he may be unable to drive
home after eye examinations when a medication to
dilate the pupil (mydriatic) or to paralyze the ciliary
muscle (cycloplegic) is used.
15. If photophobia occurs, instruct the client to wear
sunglasses and avoid bright lights.
16. Instruct the client to administer a missed dose of the
eye medication as soon as it is remembered, unless
the next dose is scheduled to be administered in 1 to 2
hours.
17. Inform the client with glaucoma that the disorder
cannot be cured, only controlled.
18. Reinforce the importance of using medications to treat
glaucoma as prescribed and not to discontinue these
medications without consulting the PHCP.
19. Inform the client that medications used to treat
glaucoma may cause pain and blurred vision,
especially when therapy is begun.
20. Instruct the client to report the development of any eye
irritation.
21. Inform the client using eye gel to store the gel at room
temperature or in the refrigerator, but not to freeze it.
22. Instruct the client to discard unused eye gel kept at
room temperature as recommended by the PHCP
and/or the pharmacist.
23. Inform the client that soft contact lenses may absorb
certain eye medications and that preservatives in eye
medications may discolor the contact lenses.
24. Advise the client wearing contact lenses to question
the PHCP carefully about special precautions to
observe with eye medications.
25. Inform the parents of infants that atropine sulfate eye
drops may contribute to abdominal distention.
26. Instruct the parents to keep a record of the infant’s
bowel movements if atropine sulfate eye drops are
being administered.
27. Auscultate bowel sounds of the infant or child
receiving atropine sulfate eye drops.

1976