A nurse is caring for a client with redness, irritation, and photophobia in their right eye. The client stated they forgot to remove their contact lenses before falling asleep last night. How should the nurse respond?

Choice A reason: Telling the client they will lose their eye is inappropriate and fear-inducing. It does not provide therapeutic communication and may cause unnecessary anxiety. Choice B reason: Asking why the client forgot is judgmental and does not promote open communication. It may make the client feel guilty rather than supported. Choice C reason: Suggesting over-the-counter eye drops is not appropriate without further assessment. Eye irritation related to contact lenses can lead to infections or corneal damage, which require medical evaluation rather than self-treatment. Choice D reason: Asking if the client still has their contact lenses in is the most appropriate response. It is therapeutic, nonjudgmental, and directly addresses the immediate concern. This helps the nurse determine whether the lenses need to be removed to prevent further irritation or damage.