Author Question: The nurse is caring for a patient who experienced a blast injury to the eye. Which intervention ... (Read 145 times)

iveyjurea

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The nurse is caring for a patient who experienced a blast injury to the eye. Which intervention would be appropriate?
 
  1. Flush the eye with eyewash.
  2. Encourage the patient to rub the eye to get out specks of dust.
  3. Apply a warm compress to the eye.
  4. Remove debris lodged in the eye.

Question 2

The nurse is caring for a patient who was brought into the emergency department after an explosion at a nuclear power plant. The patient is confused and keeps repeating that his skin is on fire. What does this information indicate to the nurse?
 
  1. The patient may not recover.
  2. The patient's clothing is burning his skin.
  3. There is gastrointestinal system involvement and the patient will survive if he receives fluids.
  4. There is bone marrow damage and the patient needs oxygen for the confusion.



tofugiraffe

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Answer to Question 1

Correct Answer: 1

The nurse should flush the patient's eye with eyewash. The patient should be cautioned not to rub the eye that has specks of dust or debris in it. A cool, not warm, compress should be applied to the eye. Debris lodged in the eye should be stabilized, not removed without medical attention.

Answer to Question 2

Correct Answer: 1

For victims of a nuclear detonation, comfort measures, such as psychologic support and empathy, are given. The patient's clothing would be burning his skin if he had experienced a chemical injury. Evidence of gastrointestinal system involvement would be nausea, loss of appetite, diarrhea, and malaise. Evidence of bone marrow damage would be nausea, fatigue, malaise, clotting disorders, and hemorrhage.



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