NCLEX Review About The Aging Eye
31. The nurse is caring for a client with a diagnosis of detached retina. Which assessment sign would indicate that bleeding has occurred as a result of the retinal detachment?
a) total loss of vision
b) a reddened conjunctiva
c) a sudden sharp pain in the eye
d) complaints of a burst of black spots or floaters
32. The client arrives in the emergency room following an automobile accident. The client's forehead hit the steering wheel and a hyphema is diagnosed. The nurse places the client in which position?
a) flat on bed rest
b) semi-fowler's on bed rest
c) lateral on the affected side
d) lateral on the unaffected side
33. The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?
a) notify the physician
b) apply ice to the affected eye
c) irrigate the eye with cool water
d) accompany the client to the emergency room
34. The client arrives in the emergency room with a penetrating eye injury from wood chips that occurred while cutting wood. The nurse assesses the eye and notes a piece of wood protruding form the eye. What is the initial nursing action?
a) apply an eye patch
b) perform visual acuity tests
c) irrigate the eye with sterile saline
d) remove the piece of wood using a sterile eye clamp
35. The client arrives in the emergency room after sustaining a chemical eye injury from a splash of battery acid. The initial nursing action is to:
a) begin visual acuity testing
b) cover the eye with a pressure patch
c) swab the eye with antibiotic ointment
d) irrigate the eye with sterile normal saline
NCLEX Review About The Aging Eye:
ANSWERS AND RATIONALE
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