Moderate

A patient with Graves disease reports gritty eyes and difficulty closing the eyelids. Which nursing instruction is most appropriate?

Correct answer: B. Use prescribed lubricating drops and protect the eyes

  • A. Rub the eyes firmly to remove the gritty feeling
  • B. Use prescribed lubricating drops and protect the eyes
  • C. Restrict fluids to reduce swelling around the eyes
  • D. Apply topical steroid cream directly into the eyes

Explanation

Thyroid eye disease can cause incomplete eyelid closure, corneal dryness and injury. Lubricating drops and eye protection help maintain corneal moisture. Rubbing can cause injury, while fluid restriction does not treat this problem.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Endocrine and Diabetes Nursing

Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.

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