An environmental service attendant is brought to an urgent care clinic after having bleach splash to their eyes and face.
The client spent 10 minutes at the eye wash station rinsing their face and eyes prior to arrival.
The client reports 9 (0-10 scale) of burning to their eyes and periorbital area.
The sclera of both eyes are deep red.
The urgent care nurse will first:
Review the safety data sheet online for products with bleach.
Continue irrigating eyes with saline until pain-free, then check pH of both eyes.
Contact the physician for miotic ophthalmic drops for pain control.
Assess visual acuity of both eyes and check vital signs.
The Correct Answer is B
Choice A rationale
Reviewing the safety data sheet does not directly alleviate the immediate chemical injury or prevent further damage. Immediate irrigation of the eyes is the priority after chemical exposure to minimize damage to the ocular surface.
Choice B rationale
Continuous irrigation removes chemical agents from the eyes and prevents further damage. Ensuring a pain-free state and checking pH confirm the removal of irritants, essential for preventing deeper eye tissue damage.
Choice C rationale
Miotic drops reduce intraocular pressure but do not address acute chemical injury. Pain relief is secondary to irrigating and neutralizing pH, which directly prevents ongoing tissue damage and irritation.
Choice D rationale
Assessing visual acuity and vital signs is important but secondary to preventing further chemical penetration. Immediate irrigation prevents damage progression and is prioritized over assessments during the acute phase of exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.1"]
Explanation
Step 1 is (225 mcg ÷ 1000 mcg) × 0.50 tablets.
Answer is 0.1 tablets.
Correct Answer is B
Explanation
Choice A rationale
Fluid intake does not directly impact intraocular pressure. Management of glaucoma focuses on medications like eye drops and surgical interventions rather than restricting fluid intake.
Choice B rationale
Glaucoma treatments, including eye drops, aim to manage intraocular pressure. These medications are required lifelong to prevent optic nerve damage and preserve vision.
Choice C rationale
Excess salt impacts systemic blood pressure but does not directly influence intraocular pressure. Glaucoma management targets ocular pressure, not dietary sodium reduction.
Choice D rationale
Avoiding eye overuse may reduce strain but does not address intraocular pressure. Effective glaucoma treatment relies on pharmacological or surgical measures rather than activity limitation.
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