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a nurse is performing eye irrigation for a client who was exposed to smoke and ash. which of the following actions should the nurse take?
hold the irrigator 1.25 cm (0.5 in) above the eye.
direct the irrigation solution upward toward the upper eyelid.
exert pressure on the bony prominences when holding the eyelids open.
direct the irrigation from the outer canthus to the inner canthus of the eye.

Explanation:

When performing eye irrigation, the irrigator should be held 2.5 - 5 cm (1 - 2 in) above the eye, not 1.25 cm. The irrigation solution should be directed downward toward the lower conjunctival sac, not upward to the upper eyelid. When holding the eyelids open, pressure should be exerted on the bony prominences to avoid squeezing the eyeball. The irrigation should be directed from the inner canthus to the outer canthus to prevent contamination of the unaffected eye. So, exerting pressure on the bony prominences when holding the eyelids open is the correct action.

Answer:

C. Exert pressure on the bony prominences when holding the eyelids open.