Which action could the registered nurse (RN) who is working in ...

[lb_gilbert]

Which action could the registered nurse (RN) who is working in the eye and ear clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?
 
  a. Evaluate a patient's ability to administer eye drops.
  b. Use a Snellen chart to check a patient's visual acuity.
  c. Teach a patient with otosclerosis about use of sodium fluoride and vitamin D.
  d. Check the patient's external ear for signs of irritation caused by a hearing aid.

Question 2

The occupational health nurse is caring for an employee who is complaining of bilateral eye pain after a cleaning solution splashed into the employee's eyes. Which action will the nurse take first?
 
  a. Apply ice packs to both eyes.
  b. Flush the eyes with sterile saline.
  c. Apply antiseptic ophthalmic ointment to the eyes.
  d. Cover the eyes with dry sterile patches and shields.

[polinasid]

Answer to Question 1

ANS: B
Using standardized screening tests such as a Snellen chart to test visual acuity is included in LPN education and scope of practice. Evaluation, assessment, and patient teaching are higher level skills that require RN education and scope of practice.

Answer to Question 2

ANS: B
Flushing of the eyes immediately is indicated for chemical exposure. Emergency treatment of a burn or foreign-body injury to the eyes includes protecting the eyes from further injury by covering them with dry sterile dressings and protective shields. Flushing of the eyes immediately is indicated only for chemical exposure. In the case of chemical exposure, the nurse should begin treatment by flushing the eyes until the patient has been assessed by a health care provider and orders are available.

[lb_gilbert]

Thank you

[polinasid]

Happy to help you