Ati 0926 med surg proctored exam
A nurse is caring for an unconscious client who has a loss of the corneal reflex. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Soap is irritating to the eyes and can cause injury, especially when the protective corneal reflex is absent. B. Warm saline compresses are not appropriate eye protection and can increase the risk of infection. C. Darkening the room may reduce stimulation but does not protect the eyes from dryness or injury. D. Loss of the corneal reflex prevents blinking, which normally keeps the eyes moist. Lubricating drops or ointments help protect the cornea from drying and injury.
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