Which of the Following Assessment Findings in a Client Who

question 33

Multiple Choice

Which of the following assessment findings in a client who was struck in the right eye with a baseball is a priority for the nurse to communicate to the health care provider in the emergency department?

• A)The client complains of a right-sided headache.
• B)The sclerae on the right eye have broken blood vessels.
• C)The area around the right eye is bruised and tender to the touch.
• D)The client complains of "a curtain" blocking part of the visual field.

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Definitions:

Low-Air-Loss Therapy

A treatment method involving the use of specialized mattresses or supports that utilize airflow to reduce skin pressure and promote wound healing.

Dakin's Solution

An antiseptic solution containing sodium hypochlorite, used in wound care to kill bacteria and clean infections.

Braden Scale

A tool used to assess a patient's risk of developing pressure ulcers.

Sensory Impairment

A reduction or loss of the ability to use one or more of the body's senses, including sight, hearing, touch, taste, and smell.