A client with measles has developed conjunctivitis. Which statement by the client requires immediate nursing intervention?
A.
“I will wash my eyes with sterile saline solution as prescribed.”
B.
“I will avoid bright light to prevent corneal ulceration.”
C.
“I will apply eye drops as prescribed to reduce irritation.”
D.
“I will use topical anesthetics on my eyes to reduce discomfort.”
The correct answer and Explanation is :
The statement that requires immediate nursing intervention is:
D. “I will use topical anesthetics on my eyes to reduce discomfort.”
Explanation:
Topical anesthetics, when used on the eyes, can cause significant harm if not used under strict medical supervision. These medications are intended for brief diagnostic or surgical procedures, not for ongoing use. Here’s why this statement raises concern:
- Risk of Corneal Damage: Prolonged or inappropriate use of topical anesthetics can lead to serious damage to the corneal epithelium. This can result in delayed healing, increased susceptibility to infections, and potentially permanent damage to the cornea. The corneal epithelium is a critical barrier to infection, and its integrity is essential for maintaining eye health.
- Masking Symptoms: Using topical anesthetics can mask symptoms of worsening eye conditions. This might delay diagnosis and treatment of potential complications such as secondary bacterial infections or worsening of conjunctivitis. It’s crucial for healthcare providers to assess symptoms directly rather than relying on anesthetics to manage discomfort.
- Professional Guidance Required: Any use of topical anesthetics should be guided by a healthcare professional, and they are typically used only for short-term relief or specific medical situations. Self-administration without proper guidance can lead to inappropriate use and adverse effects.
In contrast, the other statements reflect generally accepted practices:
- A. “I will wash my eyes with sterile saline solution as prescribed.” This is a safe and appropriate measure to help clean the eyes and reduce irritation.
- B. “I will avoid bright light to prevent corneal ulceration.” This is a sensible approach as bright light can exacerbate discomfort and might contribute to corneal damage, especially in the context of conjunctivitis.
- C. “I will apply eye drops as prescribed to reduce irritation.” If prescribed, eye drops can help alleviate symptoms and are commonly used to manage conjunctivitis.
Thus, immediate nursing intervention is required for the use of topical anesthetics due to the potential for severe adverse effects and complications.