A client recovering from a penetrating eye injury tells the nurse that some shadows and movement can be seen with the eye. Based on this data, what should the nurse do next?

Question

Quizplus · Accepted Answer

A)An initial assessment provides valuable information about the effect of the injury on the patient's vision and a baseline for future comparisons. In this case, if the client had been unable to see through the injured eye and now is able to see shadows and movement, that would indicate an improvement in vision. Deterioration in vision would be indicated by a lack of sight, but there is no way to know whether the client's condition has improved or worsened without comparing it to the baseline. The client's ability to see shadows and movement does not indicate the need for ultrasonography, but basic diagnostic testing of the eye's acuity and pupil reactivity and size is warranted.
B)An initial assessment provides valuable information about the effect of the injury on the patient's vision and a baseline for future comparisons. In this case, if the client had been unable to see through the injured eye and now is able to see shadows and movement, that would indicate an improvement in vision. Deterioration in vision would be indicated by a lack of sight, but there is no way to know whether the client's condition has improved or worsened without comparing it to the baseline. The client's ability to see shadows and movement does not indicate the need for ultrasonography, but basic diagnostic testing of the eye's acuity and pupil reactivity and size is warranted.
C)An initial assessment provides valuable information about the effect of the injury on the patient's vision and a baseline for future comparisons. In this case, if the client had been unable to see through the injured eye and now is able to see shadows and movement, that would indicate an improvement in vision. Deterioration in vision would be indicated by a lack of sight, but there is no way to know whether the client's condition has improved or worsened without comparing it to the baseline. The client's ability to see shadows and movement does not indicate the need for ultrasonography, but basic diagnostic testing of the eye's acuity and pupil reactivity and size is warranted.
D)An initial assessment provides valuable information about the effect of the injury on the patient's vision and a baseline for future comparisons. In this case, if the client had been unable to see through the injured eye and now is able to see shadows and movement, that would indicate an improvement in vision. Deterioration in vision would be indicated by a lack of sight, but there is no way to know whether the client's condition has improved or worsened without comparing it to the baseline. The client's ability to see shadows and movement does not indicate the need for ultrasonography, but basic diagnostic testing of the eye's acuity and pupil reactivity and size is warranted.

A Client Recovering from a Penetrating Eye Injury Tells the Nurse