A 22-year-old male presents to the emergency department after being struck in the right eye with a metal fragment from a grinder. The patient complains of severe eye pain and vision loss. On examination, you note a teardrop-shaped pupil. Which of the following is the most appropriate immediate nursing intervention?
Protect the eye with a rigid shield and obtain an urgent ophthalmology consultation.
Irrigate the eye with normal saline to remove any remaining debris.
Measure intraocular pressure to assess the extent of the injury.
Apply a firm pressure patch to the affected eye to control bleeding.
The patient's presentation with a penetrating mechanism of injury, severe pain, vision loss, and a teardrop-shaped pupil is highly indicative of a globe rupture, which is a true ocular emergency. The most critical initial intervention is to protect the injured eye from further damage by applying a rigid shield, such as a Fox shield or a makeshift shield from a paper cup. Any form of pressure on the globe, including applying a pressure patch or performing tonometry, is contraindicated as it can cause further extrusion of intraocular contents. Irrigation is also avoided in cases of obvious rupture. An urgent ophthalmology consultation is essential for definitive surgical repair.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What is a globe rupture?
Open an interactive chat with Bash
Why is a teardrop-shaped pupil significant in this scenario?
Open an interactive chat with Bash
Why should irrigation or measuring intraocular pressure be avoided in suspected globe rupture?
Open an interactive chat with Bash
BCEN CEN
Maxillofacial and Ocular Emergencies
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .