The nurse in the walk-in clinic assesses a small piece of rock embedded in the right eye of a man who was breaking up rocks with a sledge hammer. The most appropriate action by the nurse would be to:
a. flush the eye with a continuous stream of warm water.
b. instill artificial tears and cover the injured eye with a dressing.
c. irrigate the eye with cool water and apply a pressure dressing.
d. cover both eyes with a dressing and refer to the physician.
D
Covering both eyes to decrease sympathetic movement in the injured eye and sending the patient to the physician is the standard of care for an embedded object. There should be no attempt to remove it.
You might also like to view...
A nurse cares for several clients on a neurologic unit. Which prescription for a client should direct the nurse to ensure that an informed consent has been obtained before the test or procedure?
a. Sensation measurement via the pinprick method b. Computed tomography of the cranial vault c. Lumbar puncture for cerebrospinal fluid sampling d. Venipuncture for autoantibody analysis
What instruction should a nurse provide to a patient after a culdoscopy?
a. Clean the incision site daily with hydrogen peroxide. b. Avoid vaginal intercourse. c. Return to the clinic for suture removal in 7 days. d. Use tampons.
The nurse understands the primary use of danazol is to:
a. stimulate the release of FSH and LH for the treatment of premature onset of puberty. b. decrease the size of the prostate in clients with benign prostatic hypertrophy. c. treat endometriosis and relieve symptoms of fibrocystic breast disease. d. treat hypogonadism and impotence due to androgen deficiency.
The nurse is instructing a client diagnosed with type 2 diabetes mellitus on activities to reduce the onset of macrovascular complications. Which of the following should the nurse include in these instructions? (Select all that apply.)
1. Attain a normal body weight 2. Stop smoking 3. Increase activity 4. Keep blood pressure under control 5. Decrease fat intake 6. Ingest alcohol every day