A patient's laser photocoagulation procedure was delayed 2 weeks until the patient's blood glucose was consistently below 300 mg/dL. The surgery was performed today, and the nurse is providing discharge instructions
Which instruction should be provided regarding new glasses? 1. "We made an appointment for you to be fitted with new glasses tomorrow.".
2. "As soon as your eye has healed, you should call for an appointment to be fitted for new glasses.".
3. "Once your blood glucose is below 200 mg/dL, you should get new glasses.".
4. "Wait until your blood glucose is at your optimal level for at least 6 to 9 weeks before you get new glasses.".
4
Rationale 1: The next day is too soon to fit this patient with new glasses.
Rationale 2: The healing of the eye is not the critical factor for fitting for new glasses.
Rationale 3: The patient should not get new glasses at this time.
Rationale 4: The level of blood glucose affects the eye, and changes will affect vision. The patient should have stable blood glucose for at least 6 weeks and perhaps as long as 9 weeks before getting new glasses.
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