Free BCEN Certified Emergency Nurse (CEN) Practice Question

The correct answer is artificial tears and cold compresses. These interventions are the initial treatment for viral conjunctivitis, which is the most common form of conjunctivitis. Artificial tears help lubricate the eye and wash away irritants, while cold compresses can reduce inflammation and provide symptomatic relief.

Topical antibiotics are not initially recommended for viral conjunctivitis, as they are ineffective against viruses and may contribute to antibiotic resistance. Oral antihistamines are more appropriate for allergic conjunctivitis and may not be necessary for viral cases. Steroid eye drops, while sometimes used in severe cases, are not a first-line treatment and should only be prescribed under ophthalmological supervision due to potential side effects.

It's important to note that while this presentation is suggestive of viral conjunctivitis, a thorough assessment should be performed to rule out other potential causes, such as bacterial infection or allergic reactions, which may require different treatment approaches.