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▪ When the corneal reflex is absent, you'll need to take measures to protect the patient's affected eye from injury such as lubricating the eye with artificial tears to prevent drying.
▪ Cover the cornea with a shield and avoid excessive corneal reflex testing.
▪ Prepare the patient for cranial X-rays or a computed tomography scan.
▪ Discuss end-of-life issues with the patient's family, if appropriate.
▪ Teach the patient how to protect his eye from injury.
▪ Demonstrate how to apply eye drops correctly.
Source: Nursing: Interpreting Signs and Symptoms, 2007
▪ Don't attempt to elicit doll's eye sign in a comatose patient with suspected cervical spine injury; doing so risks spinal cord damage.
▪ Monitor vital signs and neurologic status.
▪ Discuss end-of-life issues with the patient's family, if appropriate.
▪ Provide emotional support to the family.
▪ Explain to the patient the underlying cause and its treatment.
Source: Nursing: Interpreting Signs and Symptoms, 2007
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