What action should the school nurse take for a child who has a hematoma (black eye) with no hemorrhage into the anterior chamber?
a. Apply a warm moist pack.
b. Have the child keep the eyes open.
c. Apply ice for the first 24 hours.
d. Refer to an ophthalmologist immediately.
ANS: C
The care for a hematoma eye injury with no hemorrhage into the anterior chamber is to apply ice for the first 24 hours. A warm moist pack should not be applied, and the child should keep the eyes closed. Referral to an ophthalmologist is recommended if hyphema (hemorrhage into the anterior chamber) is present.
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