NCLEX-PN Exam Practice

Category - Eyes

Your patient has arrived in the emergency department with a penetrating eye injury. You are assessing the patient. What should your first action be?
  1. Remove any objects from the eye.
  2. Place a patch over the eye.
  3. Perform a visual acuity test.
  4. Use sterile saline to irrigate the eye.
Explanation
Answer: C - You would want to perform visual acuity tests on the affected eye first. This allows the nurse to assess any damage to the vision. Any foreign objects in the eye should only be removed by an ophthalmologist. Do not cover or rinse eye because it may dislodge foreign objects and cause further damage to the eye.
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