A client who had surgery for treatment of glaucoma has a nursing diagnosis of Risk for injury.. Removes the eye shield applied for use during sleep

A client who had surgery for treatment of glaucoma has a nursing diagnosis of Risk for injury. The client's home care nurse determines that the nursing diagnosis is unresolved if the client does which of the following?
a) Scans the environment, turning the head side to side
b) Uses grab bars in the bathroom or holds the wall for added stability
c) Takes in sufficient fluid and fiber to avoid constipation
d) Removes the eye shield applied for use during sleep***
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