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    Hesi rn med surg 2 proctored exam

    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: An eye shield protects the surgical site from accidental trauma, especially during sleep. It is a standard immediate postoperative intervention to prevent complications and promote healing. Choice B reason: While monitoring vital signs is important, it is not the most immediate or specific intervention for eye surgery recovery unless systemic complications are suspected. Choice C reason: Deep breathing and coughing exercises are more relevant to postoperative pulmonary care, not ocular procedures. They do not directly benefit eye recovery. Choice D reason: Teaching a family member to administer eye drops is part of discharge planning and ongoing care, not an immediate postoperative priority.

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