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    HESI RN Med surg proctored exam 2

    A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

    Explanation & Rationale

    Choice A reason: Encouraging deep breathing and coughing exercises is important for overall respiratory health, but it is not the immediate priority following eye surgery.Choice B reason: Obtaining vital signs every 2 hours is important for monitoring the client's overall condition but is not specific to the immediate care of the eye post-surgery.Choice C reason:The correct answer is c) because providing an eye shield to be worn while sleeping is a crucial intervention to protect the eye from further injury or irritation immediately following the surgical removal of glass. It helps prevent accidental trauma to the healing eye and reduces the risk of infection.Choice D reason: Teaching a family member to administer eye drops is important for ongoing care but is not the immediate priority following the procedure.

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