nursing 2-23 THE PATIENT WITH CATARACT SURGERY 179 2-23 THE PATIENT WITH CATARAC
ID: 148922 • Letter: N
Question
nursing
2-23 THE PATIENT WITH CATARACT SURGERY 179 2-23 THE PATIENT WITH CATARACT SURGERY Mrs. G, 72 years old, has senile cataracts and has been instilling mydriatic eye drops. Her vision has progressively worsened and she is scheduled today for a right cataract extraction at the outpatient clinic. The MD orders the following preop preparation: NPO; instill mydriatic and cycloplegic eye drops 1 hour before surgery; diazepam 5 mg po 1 hour before surgery. Mrs. G arrives at the outpatient clinic at 0800, and she is scheduled for surgery at 1000. Mrs. G's daughter will stay with her at home on the day of surgery Mrs. G is a widow and lives alone. She is an active senior citizen and participates in several volunteer organizations. She has diabetes mellitus type 2 for 30 years and takes glipizide 5 mg po daily S B Prioritize the following five recommended nursing interventions as you would do them to take care of Mrs G. Write a number in the box to identify the order ofyour interventions (#1-first intervention, #2 second intervention, etc.), and state a rationale for each intervention INTERVENTIONS PRIORITY # RATIONALE . Provide information regarding preop preparation . Begin to instill ordered eye drops . Have patient void . Take VS . Ensure that the surgical consent is signed before initiating preop preparation KEY POINTS TO CONSIDER 11113E0004Explanation / Answer
#1: Provide information regarding preop preparation
Rationale: As patients has come 2 hours before the surgery, above task can be performed in first hour as other preop preparation can be done in second hour. Moreover, it is essential to inform patient about preop preparations.
#2: Ensure the surgical consent is signed before initiating the preop preparation
Rationale: It is essential to document patient will for the surgery as if patient denied for consent after preop preparation, all preop preparation will be of no use.
#3: Take VS
Rationale: The VS is the priority because surgery cannot be performed if patients VS is not normal.
#4: Begin to install ordered eyedrops
Rationale: It is the priority because it need by the surgeon during surgery and any delay may cause a big trouble.
#5: Have patient void
Rationale: This step is to be performed at last just before the surgery because if performed earlier, patient may again feel to void later during surgery.
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.