The nurse teaches a client with newly diagnosed Sjögren's syndrome how to self-administer ophthalmic lubricating ointment medication. Which statement that the client makes indicates the need for further teaching?

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11ecbb05_cb36_3254_b433_818532da6634_MD0009_00 Ophthalmic lubricants (drops, ointment, gel) replace tears and add moisture to the eyes. They are prescribed to treat dry eyes, a common symptom in clients with Sjögren's syndrome, an autoimmune disorder. Administering an ophthalmic ointment by tightly closing the eyes and rubbing the lid for 2-3 minutes can squeeze the ointment out of the eye and cause injury. The client is taught to gently close the eyes for 2-3 minutes to distribute the medication after applying the ointment. (Option B) This statement indicates the client's understanding that when self-administering the medication, the client should squeeze a thin strip of ointment onto the lower eyelid, from the inner to the outer edge, and without letting the tube touch the eye to prevent contamination. (Option C) This statement indicates the client's understanding that when self-administering the medication, the client tilts the head back, pulls the lower lid down, and looks toward the ceiling to help decrease blink reflex. (Option D) Some clients use the ophthalmic ointment at bedtime and the eye drops during the day due to blurred vision that ointments and gels can cause. Educational objective: Teach client the following steps for self-administration of ophthalmic ointments: Perform hand hygiene Tilt the head back, pull the lower lid down, and look upward Squeeze a thin strip of ointment onto the lower eyelid, from the inner to the outer edge Close the eyes gently for 2-3 minutes after applying the ointment

The Nurse Teaches a Client with Newly Diagnosed Sjögren's Syndrome