Place the nursing intervention in appropriate order for the immediate care of a patient with a penetrating wound of the eye. (Separate letters by a comma and space as follows: A, B, C, D)
a. Assess eye, do not remove object
b. Cover both eyes with an eye shield or cup
c. Lay the patient down flat
d. Check for the irregularity of the pupil
e. Obtain medical attention immediately
ANS:
C, A, D, B, E
The patient should be placed on his back to prevent loss of the aqueous humor, assessment of the eye for the location of the object and whether the pupil is regular, cover the eye to prevent movement, and obtain medical attention immediately.
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