A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious…

The correct answer is D. Sitting with head support. (A) A reclining position can cause a penetrating object to advance further into the eye. (B) Prevention of further injury is the priority, not comfort. (C) A side-lying position may increase intraocular and intracranial pressure if an accompanying head injury is suspected. (D)…

Physiological Integrity: Basic Care and Comfort

Question

A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

Options

AReclining to control bleeding
BAny position in which the client is comfortable
CSide-lying, either left or right
DSitting with head support

How the community answered

(23 responses)

A
4% (1)
C
9% (2)
D
87% (20)

Explanation

(A) A reclining position can cause a penetrating object to advance further into the eye. (B) Prevention of further injury is the priority, not comfort. (C) A side-lying position may increase intraocular and intracranial pressure if an accompanying head injury is suspected. (D) A sitting position with the head supported will prevent further injury while allowing injury care

Topics

#eye injury#patient positioning#ocular trauma#emergency care

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