Question

34-A client enters the emergency department and tells the nurse that he suddenly felt something hit his eye and has severe eye pain. The nurse notes an entrance wound in the client's affected eye. What should the nurse do? What Should You Do? Select one: a.-Remove the object b.- Immediately accompany the client to a Magnetic resonance imaging (MRI) c- Immediately accompany the client to a room and notify the health care provider to assess the client d. - Immediately accompany the client to a X-rays and computed tomography (CT) scan

Answer 1

In this situation, the nurse should take immediate action to provide appropriate care for the client's eye injury. The best course of action for the nurse to take is to:

1. Immediately accompany the client to a room where they can be assessed by a healthcare provider. This is important because the client's eye pain and the presence of an entrance wound indicate a potentially serious injury that requires professional evaluation and treatment.

The nurse should prioritize the client's safety and well-being by promptly notifying the healthcare provider about the situation. The healthcare provider will have the expertise to assess the extent of the injury and determine the most appropriate course of treatment.

It is important to note that removing the object by the nurse is not the recommended action in this situation. Removing the object from the client's eye can potentially worsen the injury or cause further damage. Therefore, it is best to leave the object removal to the healthcare provider.

Additionally, going for a Magnetic Resonance Imaging (MRI) or X-rays and Computed Tomography (CT) scan is not the immediate action required in this case. These diagnostic tests may be ordered by the healthcare provider later, depending on the assessment of the injury.