In the emergency department, the nurse is caring for a client diagnosed with a hyphema. Which statement by the client indicates a need for further teaching?
a. "When I get home, I can lie flat in bed and turn from side to side."
b. "For a few days, I cannot even read a book or watch television."
c. "I will need to protect the eye with a patch and shield."
d. "I need to stay on bedrest and will try not to make any sudden movement."
A
A hyphema is a hemorrhage in the anterior chamber of the eye due to blunt force such as a motor vehicle accident. For management of this condition, the client must be on bedrest but must re-main in a semi-Fowler's position to prevent accumulation of blood around the optical center of the cornea. The client cannot lie flat in bed and rotate from side to side. The client cannot read a book or watch television and must protect the eye if paralytic eyedrops were used. The client needs to be as still as possible to prevent further bleeding.
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