When managing a client with hyphema, what is the initial nursing intervention?

When managing a client with hyphema, what is the initial nursing intervention?

• A. Ensure the client performs eye exercises
• B. Place the client in a semi-Fowler position
• C. Administer cycloplegic eye drops
• D. Prepare the client for surgery

Answer: (B)

Placing the client in a semi-Fowler position is a crucial initial nursing intervention for a patient with hyphema. This position helps to reduce intraocular pressure and minimizes the risk of re-bleeding, which can occur if the head is in a lower position. The semi-Fowler position allows for optimal drainage of fluid in the eye and can also help to alleviate pain and discomfort, providing a balance between effective treatment and patient comfort. Choosing this specific position is based on the understanding that the management of hyphema requires careful approaches to minimize complications and support healing. It promotes stability and reduces potential pressure that could exacerbate the bleeding within the eye. Regarding the other interventions, while they may also be relevant in the broader context of managing a patient with hyphema, they are not the immediate priority. Eye exercises could potentially increase intraocular pressure and are typically not indicated until the bleeding has resolved. Cycloplegic eye drops may be used in some cases but are not the first action taken. Surgery is rarely an initial option and is generally considered only if the hyphema is severe or does not resolve with conservative measures.

Placing the client in a semi-Fowler position is a crucial initial nursing intervention for a patient with hyphema. This position helps to reduce intraocular pressure and minimizes the risk of re-bleeding, which can occur if the head is in a lower position. The semi-Fowler position allows for optimal drainage of fluid in the eye and can also help to alleviate pain and discomfort, providing a balance between effective treatment and patient comfort.

Choosing this specific position is based on the understanding that the management of hyphema requires careful approaches to minimize complications and support healing. It promotes stability and reduces potential pressure that could exacerbate the bleeding within the eye.

Regarding the other interventions, while they may also be relevant in the broader context of managing a patient with hyphema, they are not the immediate priority. Eye exercises could potentially increase intraocular pressure and are typically not indicated until the bleeding has resolved. Cycloplegic eye drops may be used in some cases but are not the first action taken. Surgery is rarely an initial option and is generally considered only if the hyphema is severe or does not resolve with conservative measures.