The nurse is caring for a client with a penetrating eye injury.Which action is appropriate for the nurse to include in the plan of care?

Question

Quizplus · Accepted Answer

A) For a severe or penetrating injury, promote rest and stabilize the injured eye by applying an eye pad or gauze dressing loosely over both the affected and unaffected eye. Stabilize any penetrating object, if possible. These measures reduce eye movement and can help preserve the client's vision. Anesthetic drops would be appropriate prior to the removal of a foreign body from the eye. Removal of the foreign body is appropriate if the client had a foreign body in the eye. Application of eye ointment would be applicable after the removal of a foreign body or for a corneal abrasion.
B) For a severe or penetrating injury, promote rest and stabilize the injured eye by applying an eye pad or gauze dressing loosely over both the affected and unaffected eye. Stabilize any penetrating object, if possible. These measures reduce eye movement and can help preserve the client's vision. Anesthetic drops would be appropriate prior to the removal of a foreign body from the eye. Removal of the foreign body is appropriate if the client had a foreign body in the eye. Application of eye ointment would be applicable after the removal of a foreign body or for a corneal abrasion.
C) For a severe or penetrating injury, promote rest and stabilize the injured eye by applying an eye pad or gauze dressing loosely over both the affected and unaffected eye. Stabilize any penetrating object, if possible. These measures reduce eye movement and can help preserve the client's vision. Anesthetic drops would be appropriate prior to the removal of a foreign body from the eye. Removal of the foreign body is appropriate if the client had a foreign body in the eye. Application of eye ointment would be applicable after the removal of a foreign body or for a corneal abrasion.
D) For a severe or penetrating injury, promote rest and stabilize the injured eye by applying an eye pad or gauze dressing loosely over both the affected and unaffected eye. Stabilize any penetrating object, if possible. These measures reduce eye movement and can help preserve the client's vision. Anesthetic drops would be appropriate prior to the removal of a foreign body from the eye. Removal of the foreign body is appropriate if the client had a foreign body in the eye. Application of eye ointment would be applicable after the removal of a foreign body or for a corneal abrasion.

The Nurse Is Caring for a Client with a Penetrating