The nurse is caring for an unconscious patient who has an artificial eye. To determine which eye is artificial, she shines a light into the patient's eyes. Why does the nurse do this?
a. The light will cause the eye to move differently than the natural eye.
b. An artificial eye pupil does not react to changes in light.
c. It is essential to remove the prosthesis for cleaning.
d. The implant can be seen only by shining a light.
B
An artificial eye pupil does not react to changes in light. Modern implants are made of glass or plastic and are porous so that the tissues of the eye grow into the sphere. Like a healthy eye, this integrated implant moves as the companion eye moves. Unless advised by the patient's eye care practitioner, the prosthesis usually is not removed unless the patient experiences discomfort, because excessive handling may cause irritation and increased secretions. The muscles and other tissues of the eye are sewn around the implant, holding it in place. The implant, therefore, is not visible.
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The nursing would identify which of the following nursing diagnoses as appropriate for the client? 1. Sexual Dysfunction 2. Situational Low Self-Esteem 3. Ineffective Coping 4. Hormonal Imbalance
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