A client tells the nurse that she sees a shadow that is slowing getting worse in her left eye. Which of the following should the nurse do?
1. Instruct the client to return home to rest in bed.
2. Encourage the client to continue with normal daily activities.
3. Notify an ophthalmologist.
4. Encourage fluids and normal saline eyedrops.
3
The nurse should notify an ophthalmologist with the client's symptoms. The onset of a shadow in the field of vision that will not dissipate is an indication of a detached retina. Retinal detachments rarely self-repair, and the client will need surgery. The nurse should not instruct the client to return home to rest in bed. The client should not be encouraged to continue with normal daily activities. Fluids and saline eyedrops will not help a detached retina.
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