A patient has just returned to the floor after undergoing a retinal detachment repair
The following order from the patient's physician is on the chart: Keep patient in upright sitting position, with head over the bed table, until first dressing change. What should the nurse do?
A) Call the physician and tell her the order is in error and must be reviewed.
B) Follow the order because this position will help keep the retinal repair intact.
C) Instruct the patient to do this while awake but sleep lying flat on the unoperated side.
D) Assume she should change the dressing at bedtime then allow the patient to lie flat.
Ans: B
Feedback: During retinal detachment repair, an air bubble is often injected into the eye to provide added pressure. Postoperative positioning is dependent on where the air bubble needs to apply pressure. This position should be maintained until the physician removes the dressing and assesses how well the retina is adhering to the choroid.
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