Question: The client sustains a contusion of the eyeball following a traumatic injury with a blunt object. Which intervention is initiated immediately?
1. Notify the physician.
2. Apply ice to the affected eye.
3. Irrigate the eye with cool water.
4. Accompany the client to the emergency department.
Rationale: Treatment for a contusion begins at the time of injury. Ice is applied immediately. The client then should be seen by a physician and receive a thorough eye examination to rule out the presence of other eye injuries.
Test-Taking Strategy: Note the type of injury sustained. Focus on the strategic word immediately. Recalling the principles related to initial treatment of injuries will direct you to the correct option. Review emergency treatment of eye injuries if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Adult Health—Eye
Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 1103). St. Louis: Saunders.
This week’s NCLEX exam practice question came from:
Silvestri: Saunders Comprehensive Review for the NCLEX-RN Exam, 5th Edition, Chapter 64, Page 918, Question 775
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