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
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.
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