The nurse is caring for a patient following a left corneal ...

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The nurse is caring for a patient following a left corneal transplant. When positioning the patient, the nurse correctly assists the patient into which positions? (select all that apply.)
 
  a. Supine
  b. Supine with head on small pillow
  c. Left side-lying
  d. Right side-lying
  e. High Fowler

Question 2

The nurse is caring for a patient who underwent a right nephrostomy to relieve hydronephrosis. Which intervention is most important for this patient?
 
  a. Assist the patient with turning every 2 hours.
  b. Irrigate the nephrostomy tube once per shift.
  c. Assess urinary output from the left kid-ney.
  d. Keep the nephrostomy tube clamped.

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Answer to Question 1

A, B, D
The patient may lie only on his back and nonoperative side postoperatively. Flat on his back, on his back with his head on a small pillow, and positioned on his nonoperative side are acceptable as all these positions place no undue pressure on the transplant. Allowing the patient to rest on the operative side or in high Fowler position would place excessive pressure on the operative site.

Answer to Question 2

C
The left kidney will take on increased renal metabolism and must be assessed constantly. While it is important for the patient to turn, positioning of the patient depends on the surgeon's orders. Frequent turning and deep breathing may help prevent complications but monitoring the unaf-fected kidney is most important. A nephrostomy tube should never be irrigated or clamped without a specific provider's order that defines the circumstances and the amount of irrigation fluid.

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Excellent

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TYSM