The nurse is performing eye care for a comatose patient. Which interventions indicate the nurse has a good understanding of the appropriate care needed? (Select all that apply.)
a. The nurse cleans the eye with water or saline.
b. The nurse uses an eyedropper to instill the prescribed lubricant.
c. The nurse wipes away excess lubricant moving from outer canthus to inner can-thus.
d. The nurse applies eye patches when the blink reflex is absent.
e. The nurse changes the eye patches every 8 hours.
A, B, C, D
To prevent damage to corneas in a comatose patient, eye care is performed. The nurse cleans the eyes with water or saline, wiping from inner canthus to outer canthus, using a separate wash cloth or cotton ball for each eye. Lubricant is applied using an eye dropper, wiping excess from inner canthus to outer canthus. Eye patches are used when there is no blink reflex and are changed every 4 hours.
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