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nursing keep it. simple no need to over do it 2-23 THE PATIENT WITH CATARACT SUR

ID: 138796 • Letter: N

Question

nursing keep it. simple no need to over do it

2-23 THE PATIENT WITH CATARACT SURGERY 179 2-23 THE PATIENT WITH CATARACT SURGERY S 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 su B 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. 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 Copyright O 2018, Elsevier Inc. All rights reserved.

Explanation / Answer

Priority wise steps and rationale for each step

Step 1. Sign the surgical consent - As part of safety and precautionary aspects it is mandatory to take written permission from patient or their relative prior to start operating patient.

2. Provide information regarding pre operative preparation : Before start of surgery nessesory preoperative test need to be performed to check whether patient is in healthy condition to undergo any surgery if required.

3. Take VS : that is to perform successive operation it is recommended to perform VS that is to record surgery video during actual surgery.

4. Perform viod : surgical viod should be performed to remove the cloudy nature from pupil by surgical incision and drainage out the affected part completely so that the newly designed material can be incubated to the eye.

5. Begin to instilled ordered eye drops untill prescribed suration by doctors.