During the preoperative assessment of the patient scheduled for a right cataract extraction and intraocular lens implantation, it is most important for the nurse to assess

a. the visual acuity of the patient's left eye.
b. how long the patient has had the cataract.
c. for a white pupil in the patient's right eye.
d. for a history of reactions to general anesthetics.


ANS: A
Because it can take several weeks before the maximum improvement in vision occurs in the right eye, patient safety and independence are determined by the vision in the left eye. A white pupil in the operative eye would not be unusual for a patient scheduled for cataract removal and lens implantation. The length of time that the patient has had the cataract will not affect the perioperative care. Cataract surgery is done using local anesthetics rather than general anesthetics.

Nursing

You might also like to view...

A nurse who is admitting a client to the inpatient unit conducts a comprehensive assessment. How does the nurse use the data gathered from the assessment? Standard Text: Select all that apply

1. To support nursing diagnoses 2. To determine the length of stay 3. To exclude data from secondary sources 4. To plan appropriate interventions 5. To make sound clinical judgments

Nursing

A principal called the school nurse into his office and asked, "Will this student be able to attend our school?" after handing over the medical record of a severely handicapped prospective student

Which of the following would be the most appropriate response by the nurse? a. "Legally all students have a right to public education in the least restrictive environment possible, so let me think how we can manage." b. "The student clearly won't be comfortable here; other students can be so cruel. Let me talk to the student's family." c. "There are schools that specialize in the care of the severely handicapped. Let me get in touch to see if one of those schools has the needed resources." d. "This student is so handicapped there is no way to manage the needed care; the family needs a home schooling teacher."

Nursing

An adult female client develops a pulmonary embolism and is admitted to the intensive care unit (ICU). While completing the client's health history interview, which statement made by the client is consistent with the diagnosis? Select all that apply.

A. "I had an open appendectomy 4 days ago." A 4 cm incision noted to RLQ, staples intact and edges well-approximated. B. "I have taken oral contraceptives for the last 7 years." C. "I am not a smoker." D. "The nurse on the surgical unit really wanted me to sit on the side of the bed after surgery and to start walking with them later that evening, but I was so nauseated and in so much pain that I couldn't." E. "I had some muscle cramping and tenderness in my left leg before they moved me to Intensive Care."

Nursing

A long-term care resident is taking an anticholinergic agent. The nurse observes the resident to be disoriented and hallucinating. The priority nursing action is to

a. report development of alterations to the charge nurse. b. assess blood glucose. c. provide for resident's safety. d. medicate with antianxiety medication.

Nursing