The nurse at the outpatient surgery unit obtains the following information about a patient who is scheduled for cataract extraction and implantation of an intraocular lens
Which information is most important to report to the health care provider at this time?
a. The patient has had blurred vision for 3 years.
b. The patient has not eaten anything for 8 hours.
c. The patient takes 2 antihypertensive medications.
d. The patient gets nauseated with general anesthesia.
ANS: C
Mydriatic medications used for pupil dilation are sympathetic nervous system stimulants and may increase heart rate and blood pressure. Using punctal occlusion when administering the mydriatic and monitoring of blood pressure are indicated for this patient. Blurred vision is an expected finding with cataracts. Patients are expected to be NPO for 6 to 8 hours before the surgical procedure. Cataract extraction and intraocular lens implantation are done using local anesthesia.
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