TCRN Practice Exam 2026 – Complete Prep for Your Test

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A patient with retrobulbar hematoma has an intraocular pressure of 45 mm Hg. What is the most appropriate initial intervention?

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ELEVATING THE HEAD OF THE BED

In the case of a patient with a retrobulbar hematoma and elevated intraocular pressure, elevating the head of the bed serves as an important initial intervention. Raising the head of the bed can help reduce intraocular pressure by promoting venous drainage from the eyes, thereby alleviating some of the pressure caused by the hematoma. This positioning can enhance circulation in the orbital area and lead to improved outcomes for the patient.

High intraocular pressure is a critical concern as it can lead to complications such as vision loss, and managing it promptly is vital. While other interventions may be important in the management of retrobulbar hematomas, elevating the head of the bed is a straightforward, non-invasive action that can have immediate benefits and should be prioritized as an initial step in the treatment process.

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