Med Surg Ch 25 & 26

A patient comes to the ambulatory care clinic after getting hay into the eyes while farming. Which action(s) should the nurse implement? (select all that apply.) a. Flush the eye with warm saline. b. Hold the eyelids open. c. Tilt the head back. d. Use a moistened sterile cotton swab. e. Ask the patient to rub the eyes with the lids closed to produce more tears. - A, B, C, D A patient presents to a walk-in clinic with a small piece of rock deeply embedded in his right eye. What should the nurse do first? a. Flush the eye with a continuous stream of warm water. b. Refer the patient to the emergency department. c. Irrigate the eye with cool water. d. Cover both eyes with a dressing. - D cover both eyes with a dressing A patient tilts her head to the side while reading a pamphlet. The nurse recognizes that this action may be an attempt to compensate for which problem? a. Tinnitus b. Nystagmus c. Photophobia d. Diplopia - D Diplopia