Author Question: A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What ... (Read 26 times)

jasdeep_brar · **on:** Jun 25, 2018

A client had proxymetacaine (Ocu-Caine) instilled in one eye in the emergency department. What discharge instruction is most important?

a. Do not touch or rub the eye until it is no longer numb.
b. Monitor the eye for any bleeding for the next day.
c. Rinse the eye with warm saline solution at home.
d. Use all the eyedrops as prescribed until they are gone.

Question 2

A client who is near blind is admitted to the hospital. What action by the nurse is most important?

a. Allow the client to feel his or her way around.
b. Let the client arrange objects on the bedside table.
c. Orient the client to the room using a focal point.
d. Speak loudly and slowing when talking to the client.

janieazgirl · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
This drug is an ophthalmic anesthetic. The client can injure the numb eye by touching or rubbing it. Bleeding is not associated with this drug. The client should not be told to rinse the eye. This medication was given in the emergency department and is not prescribed for home use.

Answer to Question 2

ANS: C
Using a focal point, orient the client to the room by giving descriptions of items as they relate to the focal point. Letting the client arrange the bedside table is a good idea, but not as important as orienting the client to the room for safety. Allowing the client to just feel around may cause injury. Unless the client is also hearing impaired, use a normal tone of voice.