A patient comes to the ambulatory care clinic after getting hay into the eyes while farming. Which action(s) should the nurse implement? (select all that apply.)
a. Flush the eye with warm saline.
b. Hold the eyelids open.
c. Tilt the head back.
d. Use a moistened sterile cotton swab.
e. Ask the patient to rub the eyes with the lids closed to produce more tears.
A, B, C, D
If the foreign body is not deeply embedded in the tissues of the eye, it can easily be removed by irrigation. Irrigation with clear, lukewarm water or sterile water or saline is used to remove a for-eign body sticking to the cornea. Have the patient tilt the head back. Hold the eyelids open to prevent blinking. Sometimes a speck of foreign matter on the cornea can be removed with a moistened, sterile cotton swab. The goals of treatment will be to remove the foreign objects from the eyes and to prevent further injury to the eye. Rubbing an irritated eye may cause a corneal abrasion.
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