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Author Question: A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse ... (Read 53 times)

danielfitts88

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on: Jul 11, 2018
A patient who had an enucleation of the right eye has been admitted PACU. What should the nurse include in the plan of care?
 
  a. Turn, cough, and deep breathe every 3 hours
  b. Apply a pressure dressing over the right eye socket
  c. Document dressing assessment every 2 hours
  d. Turn on the affected side

Question 2

When the patient stares at the black dot on an Amsler grid, what should the nurse ask him to report?
 
  a. Any color visible on the grid
  b. Fading of the edges of the grid
  c. Any distortion of the grid
  d. Movement of the black dot


bookworm410

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Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: B
A pressure dressing will be applied to the right eye socket and the dressing should be checked every hour for the first 24 hours.

Answer to Question 2

ANS: C
Amsler grid, a diagnostic tool for retinal disorders, requires that the patient look at the dot on the grid and report any distortion in the grid lines.


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