The nurse is caring for a child with retinoblastoma that was treated with an enucleation. What interventions should the nurse plan for care of an eye socket after enucleation? (Select all that apply.)
a. Clean the prosthesis.
b. Change the eye pad daily.
c. Keep the opposite eye covered initially.
d. Irrigate the socket daily with a prescribed solution.
e. Apply a prescribed antibiotic ointment after irrigation.
ANS: B, D, E
Care of the socket is minimal and easily accomplished. The wound itself is clean and has little or no drainage. If an antibiotic ointment is prescribed, it is applied in a thin line on the surface of the tissues of the socket. To cleanse the site, an irrigating solution may be ordered and is instilled daily or more frequently if necessary before application of the antibiotic ointment. The dressing consists of an eye pad changed daily. The prosthesis is not placed until the socket has healed. The opposite eye is not covered.
You might also like to view...
A nurse is teaching a patient how to take Imitrex in the home setting in order to maximize therapeutic benefit while reducing the risk of adverse effects. The nurse should teach the patient to take Imitrex
A) before breakfast each day. B) on days when migraines may be anticipated. C) as soon as the earliest symptoms of migraine are sensed. D) when the pain of a migraine becomes too much to bear.
Acute mastitis can be minimized by:
1. washing nipples and breasts with mild soap and water once a day. 2. using proper breastfeeding techniques. 3. wearing a nipple shield for the first few days of breastfeeding. 4. wearing a supportive bra 24 hours a day.
The client's wife states, "I think something is wrong. He isn't responding to the antidepressant.". The nurse's best response would be, "Your husband may need to:
A) Stay on the medication for six months to see a response.". B) Learn to live with his depression symptoms.". C) Have a trial and error period to determine what medication is most effective for him.". D) Stop the medication immediately.".
A patient has been receiving morphine sulfate 5 mg IV every 4 hours for the past 2 weeks. She states that the pain is not being relieved as well as it was in the past. What is the reason for this development?
A) She has developed a dependency on the morphine. B) She has metastatic cancer and is dying. C) She has greater pain with inactivity. D) She has developed tolerance to morphine.