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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Gently massage the eyelid to facilitate absorption of the medication: Massaging the eyelid is not recommended because it can spread the infection to surrounding tissues and increase irritation. Medication should remain in the conjunctival sac for absorption. B. Wipe any excess medication from the inner canthus outward: After applying ophthalmic ointment, wiping from the inner canthus (near the nose) outward prevents contamination of the tear duct and reduces the risk of spreading the infection to the other eye or face. C. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days: The prescribed medication is bacitracin, not erythromycin. Providing the correct drug and following the prescribed dosing schedule is essential for effective treatment. D. Place an occlusive dressing on the affected eye to prevent the spread of infection: An occlusive dressing is not indicated for bacterial conjunctivitis. Proper hand hygiene and avoiding contact with the eye are sufficient to prevent transmission.

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