Question

A nurse is to administer an eye irrigation to a client's right eye. which should the nurse do? (select all that apply)

a. direct the flow of solution from the inner to the outer canthus
b. irrigate with a bulb syringe held several inches about the eye
c. expose the conjunctival sac and hold open the upper lid
d. don sterile gloves before beginning the procedure
e. position the client in a right lateral position

Answer 1

The nurse should flush the eye from the inner to the outer canthus, expose the conjunctival sac while holding the upper lid, and wear sterile gloves to prevent infection. The aim is to ensure efficacy of the procedure and maintain sterility.

Step-by-step explanation:

When administering eye irrigation to a client's right eye, the nurse should:

• Direct the flow of solution from the inner to the outer canthus, as this ensures contaminants are flushed away from the ducts that lead into the nasal cavity.
• Expose the conjunctival sac and hold open the upper lid, enabling efficient cleansing while minimizing the risk of injury.
• Don sterile gloves before beginning the procedure to maintain a sterile environment and prevent introducing any infections.

Regarding the client's position, it should be one that allows for proper drainage and prevents the solution from collecting in the eye, although a right lateral position may not be necessary.