The nurse caring for a comatose patient determines that he is wearing contact lenses. Which of the following nursing interventions will the nurse use when removing the contact lenses?
a. Put on snug, powdered, clean gloves.
b. Ask the patient to look down to expose the lower eyeball.
c. Use the fingernail to slide the lens off of the cornea.
d. Inspect the eye after the lenses have been removed.
D
After the lenses have been removed, inspect the eye for redness, pain, swelling of the eyelids or conjunctivae, discharge, or excess tearing. Perform hand hygiene. Don snug, powder-free, clean gloves, and place a towel just below the patient's face. Ask the patient to look up to expose the lower eyeball to which the lens will be displaced. With the pad of the index finger of the same hand, slide the lens off the cornea down onto the lower sclera. Use of the pad rather than the fingernail prevents injury to the cornea and damage to the lens.
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