Difficulty: Medium
Average Score: 63%
Simulated
A client has sustained a hyphema. What intervention should the nurse take?
Correct answer
B
Rationale
Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physician's order.