The nurse is administering erythromycin (Ilotycin) ointment to a ...

[Mr. Wonderful]

The nurse is administering erythromycin (Ilotycin) ointment to a newborn. What factors are associated with administration of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. The medication should be instilled in the lower conjunctival sac of each eye.
  2. The eyelids should be massaged gently to distribute the ointment.
  3. The medication must be given immediately after delivery.
  4. The medication does not cause any discomfort to the infant.
  5. The medication can interfere with the baby's ability to focus.

Question 2

The nurse is calling patients at 4 weeks postpartum. The patient who should be seen immediately is the patient who:
 
  1. Describes feeling sad all the time.
  2. Reports hearing voices talking about the baby.
  3. States she has no appetite and wants to sleep all day.
  4. Says she needs a refill on her sertraline (Zoloft) next week.

[swimkari]

Answer to Question 1

1, 2, 5
Explanation: 1. Successful eye prophylaxis requires that the medication be instilled in the lower conjunctival sac of each eye.
2. After administration, the nurse massages the eyelid gently to distribute the ointment.
5. Eye prophylaxis medication can cause chemical conjunctivitis, which gives the newborn some discomfort and can interfere with the baby's ability to focus on the parents' faces.

Answer to Question 2

2
Rationale 1: This is an indication the patient is experiencing postpartum blues, and is not the highest priority.
Rationale 2: This is an indication the patient is experiencing postpartum psychosis, and is the highest priority, because the voices might tell her to harm her baby.
Rationale 3: This is an indication the patient is experiencing postpartum depression, but is not the highest priority.
Rationale 4: A patient on medications needs refills on time, but right now she has medication, and therefore is not a high priority.