Identify the Initial Action by the Nurse That Is Most

Multiple Choice

Identify the initial action by the nurse that is most appropriate for a 10-year-old boy who is seen in the ER with a partially detached retina on the left side of the left eye after sustaining a head injury during a baseball game.

A) Cover both eyes with a soft eye patch.
B) Position the client on the right side with his head slightly elevated.
C) Irrigate the left eye with a gentile stream of normal saline.
D) Position the client on the left side with his head flat.