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    NR302 Health Assessment Chamberlain University (Examplify) Proctored Exam

    The nurse cares for a client with a stye. What instruction should the nurse give the client?

    Explanation & Rationale

    A. "Apply an ice pack to the affected eye" is incorrect because cold compresses only provide temporary pain relief and may reduce inflammation slightly, but they do not facilitate drainage of the infected gland. Cold can limit circulation, which may slow the natural resolution of the stye. B. "Place a warm compress on the eye" is the correct intervention and is considered the first-line treatment for styes. Warmth promotes vasodilation, which increases blood flow to the affected area, bringing immune cells to fight infection. It also softens the contents of the clogged gland, facilitating natural drainage of pus. The compress should be applied for 10–15 minutes at a time, 3–4 times per day. This approach reduces pain, decreases inflammation, and accelerates resolution of the stye. Warm compresses can be used safely at home and are non-invasive, making them ideal for initial management. C. "When it comes to a head, try popping it" is dangerous and contraindicated. Attempting to squeeze or pop a stye can force bacteria deeper into the eyelid tissues, increase the risk of spreading infection, and may lead to cellulitis or permanent scarring. Even healthcare professionals avoid manual drainage unless necessary and performed under sterile conditions. D. "Rub the eye gently to help it drain" is also incorrect. Rubbing can irritate the eyelid further, potentially spread infection to the conjunctiva or other areas, and worsen swelling or pain. Proper care involves gentle hygiene without mechanical manipulation.

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