A client presents in the emergency room with a penetrating eye injury. The object is still present in the eye. Which nursing action is priority?

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 a foreign body from the eye is appropriate, but not removal of a penetrating object, which could cause additional tissue damage. Use 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 a foreign body from the eye is appropriate, but not removal of a penetrating object, which could cause additional tissue damage. Use 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 a foreign body from the eye is appropriate, but not removal of a penetrating object, which could cause additional tissue damage. Use 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 a foreign body from the eye is appropriate, but not removal of a penetrating object, which could cause additional tissue damage. Use of eye ointment would be applicable after the removal of a foreign body or for a corneal abrasion.

A Client Presents in the Emergency Room with a Penetrating