Log out Go to App
Go to App

Learning Materials

Features

Discover

Chapter 1: Problem 127

The client arrives in the emergency room with a hyphema. Which action by the nurse would be best? A. Elevate the head of the bed and apply ice to the eye B. Place the client in a supine position and apply heat to the knee C. Insert a Foley catheter and measure the intake and output D. Perform a vaginal exam and check for a discharge

Short Answer

Expert verified
Answer: A. Elevate the head of the bed and apply ice to the eye.

Step by step solution

01

Understand the problem

First, we should understand what a hyphema is. A hyphema is a medical condition in which blood collects in the anterior chamber of the eye, causing blurred vision, pain, and an increased risk of infection. This situation requires proper nursing intervention. Now we will review the choices to find the best nursing action.
02

Evaluate choice A

"Elevate the head of the bed and apply ice to the eye" - When dealing with a hyphema, it is important to prevent the blood from spreading and to reduce swelling. Elevating the head of the bed helps to prevent blood pooling and ice application can help reduce pain and inflammation. This choice seems like an appropriate nursing action.
03

Evaluate choice B

"Place the client in a supine position and apply heat to the knee" - This option has no immediate benefit for a person who suffers from hyphema. Placing the client in a supine position will not prevent blood pooling, and applying heat to the knee is irrelevant to the problem. We can discard this choice.
04

Evaluate choice C

"Insert a Foley catheter and measure the intake and output" - This option is not related to treating a hyphema. Monitoring fluid balance is essential in many situations, but it is not the primary concern of a hyphema. This choice is not the correct nursing action.
05

Evaluate choice D

"Perform a vaginal exam and check for a discharge" - This option is unrelated to the hyphema issue. A vaginal exam is not the appropriate nursing action for a client with an eye problem. This choice can be discarded.
06

Choose the correct answer

Based on our evaluation of the choices, we can conclude that the best nursing action for a client with a hyphema is A. Elevate the head of the bed and apply ice to the eye.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Start your free trial

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The nurse is caring for a new mother. The mother asks why her baby has lost weight since he was born. The best explanation of the weight loss is: A. The baby is dehydrated due to polyuria. B. The baby is hypoglycemic due to lack of glucose. C. The baby is allergic to the formula the mother is giving him. D. The baby can lose up to \(10 \%\) of weight due to meconium stool, loss of extracellular fluid, and initiation of breast-feeding.

A client has rectal cancer and is scheduled for an abdominal perineal resection. What should be the priority nursing care during the post-op period? A. Teaching how to irrigate the illeostomy B. Stopping electrolyte loss in the incisional area C. Encouraging a high-fiber diet D. Facilitating perineal wound drainage

The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: A. Change the nursing assistant's assignment B. Explore the interaction with the nursing assistant C. Discuss the matter with the client's family D. Initiate a group session with the nursing assistant

The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for: A. Shellfish allergies B. Reactions to blood transfusions C. Gallbladder disease D. Egg allergies

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug? A. Uric acid of \(5 \mathrm{mg} / \mathrm{dL}\) B. Hematocrit of \(33 \%\) C. WBC 2,000 per cubic millimeter D. Platelets 150,000 per cubic millimeter
See all solutions

Recommended explanations on Biology Textbooks

Chemistry of Life

Read Explanation

Biological Structures

Read Explanation

Ecological Levels

Read Explanation

Communicable Diseases

Read Explanation

Ecology

Read Explanation

Biology Experiments

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free