MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A patient is brought into the emergency department with chemical burns to both eyes. Which is the priority action of the nurse for this patient’s care?

A	a. Administering local anesthetics and antibacterial drops for 24 to 36 hours
B	Applying hot compresses at 15-minuteintervals
C	c. Flushing the lids, conjunctiva, and cornea with tap water or normal saline
D	d. Cleansing the conjunctiva with a small cotton-tipped applicator

Explanation:

Detailed explanation-1: -Irrigate for at least 30 minutes and take care not to contaminate the other eye. If a patient has suffered a chemical burn in the eye, immediate, high-volume irrigation is essential in order to wash out the chemicals and save her or his vision.

Detailed explanation-2: -Eye irrigation is the process of using a sterile solution to flush the eyes of any foreign bodies. While it’s ok to use sterile, purified water, many physicians prefer a sterile saline solution thanks to its antibacterial properties.

Detailed explanation-3: -Pharmacology. Tropicamide is indicated to induce mydriasis (dilation of the pupil) and cycloplegia (paralysis of the ciliary muscle of the eye) in diagnostic procedures. It is used in combination with hydroxyamphetamine for the same indication.

There is 1 question to complete.