The client arrives in the emergency room following a bicycle accident in which the client’s forehead hit the pavement. The client is diagnosed as having a hyphema. The nurse should place the client in which position?
3. Side-lying on the affected side.
4. Side-lying on the unaffected side.
A hyphema is the presence of blood in the anterior chamber of the brain. Hyphema is produced when a force is sufficient to break the integrity of the blood vessels in the eye and can be caused by direct injury, such as penetrating injury from a small bullet or pellet, or indirectly, such as from striking the forehead on the pavement during an accident. The client is treated by bed rest in a semi-Fowler’s position to assist gravity in keeping the hyphema away from the optical center of the cornea.
CN: Physiological integrity; CL: Apply
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