Author Question: A patient who underwent eye surgery is required to wear an eye patch until the scheduled ... (Read 102 times)

rmenurse · **on:** Jun 25, 2018

A patient who underwent eye surgery is required to wear an eye patch until the scheduled postoperative clinic visit. Which nursing diagnosis will the nurse include in the plan of care?

a. Disturbed body image related to eye trauma and eye patch
b. Risk for falls related to temporary decrease in stereoscopic vision
c. Ineffective health maintenance related to inability to see surroundings
d. Ineffective denial related to inability to admit the impact of the eye injury

Question 2

Which information will the nurse provide to the patient scheduled for refractometry?

a. You will need to wear sunglasses for a few hours after the exam.
b. The surface of your eye will be numb while the doctor does the exam.
c. You should not take any of your eye medicines before the examination.
d. The doctor will shine a bright light into your eye during the examination.

akemokai · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The loss of stereoscopic vision created by the eye patch impairs the patient's ability to see in three dimensions and to judge distances. It also increases the risk for falls. There is no evidence in the assessment data for ineffective health maintenance, disturbed body image, or ineffective denial.

Answer to Question 2

ANS: A
The pupils are dilated using cycloplegic medications during refractometry. This effect will last several hours and cause photophobia. The other teaching would not be appropriate for a patient who was having refractometry.