A patient with a right retinal detachment had a pneumatic ...

[maegan_martin]

A patient with a right retinal detachment had a pneumatic retinopexy procedure. Which information will be included in the discharge teaching plan?
 
  a. The purpose of maintaining the head in a prescribed position
  b. The use of eye patches to reduce movement of the operative eye
  c. The need to wear dark glasses to protect the eyes from bright light
  d. The procedure for dressing changes when the eye dressing is saturated

Question 2

The nurse is developing a plan of care for an adult patient diagnosed with adult inclusion conjunctivitis (AIC) caused by Chlamydia trachomatis. Which action should be included in the plan of care?
 
  a. Discussing the need for sexually transmitted infection testing
  b. Applying topical corticosteroids to prevent further inflammation
  c. Assisting with applying for community visual rehabilitation services
  d. Educating about the use of antiviral eyedrops to treat the infection

[kescobar@64]

Answer to Question 1

ANS: A
Following pneumatic retinopexy, the patient will need to position the head so the air bubble remains in contact with the retinal tear. The dark lenses and bilateral eye patches are not required after this procedure. Saturation of any eye dressings would not be expected following this procedure.

Answer to Question 2

ANS: A
Patients with AIC have a high risk for concurrent genital Chlamydia infection and should be referred for sexually transmitted infection (STI) testing. AIC is treated with antibiotics. Antiviral and corticosteroid medications are not appropriate therapies. Although some types of Chlamydia infection do cause blindness, AIC does not lead to blindness, so referral for visual rehabilitation is not appropriate.