ANS: b, a, d, e, c, h, f, g, k, i, j The proper procedure for inserting an eye prosthesis is to explain the procedure, wash hands, prepare your work area with a cloth or towel, apply gloves, remove the prosthesis from its container and rinse it, use your nondominant hand to open the client’s upper eyelid, hold the prosthesis properly, insert the prosthesis with the top edge slipping under the lid, release the lid, retract the lower lid until the prosthesis slides into place behind the lower lid, and take your hand away slowly. Mrs. Lao, 78 years old, is lately experiencing blurring of her vision. She also complains of experiencing glares and halos whenever she looks at bright lights even for a split second. She ignored all of these, attributing them to tiredness. After a month, she consulted a physician because the lens of her eye now has a milky center. She was diagnosed with senile cataract. Show
What is Cataract?One of the most common eye disorders is cataract.
ClassificationThe three most common types of senile cataracts are defined by their location in the lens.
PathophysiologyCataracts can develop in one or both eyes at any age as a result of a variety of causes.
Statistics and IncidencesCataract ranks behind only arthritis and heart disease as a leading cause of disability in older adults.
CausesCataracts usually develop without any apparent cause; however they can result from:
Clinical ManifestationsBecause all light entering the eye passes through the lens, any clouding of the lens can cause poor vision.
PreventionThe nurse should instruct the patient to:
ComplicationsPotential complications following cataract surgery include:
Assessment and Diagnostic FindingsDecreased visual acuity is directly proportional to cataract density.
Medical ManagementNo nonsurgical treatment cures cataracts or prevent age-related cataracts. Pharmacologic TherapyMedications administered pre and postoperatively are:
Surgical ManagementCommon surgical procedures done to correct cataracts: Phacoemulsification
Nursing ManagementThe patient with cataract should receive the usual preoperative care for ambulatory surgical patients undergoing eye surgery. Nursing AssessmentThe nurse should assess:
Nursing DiagnosisBased on assessment data, the nursing diagnoses for the patient include:
Nursing Care Planning & GoalsMain Article: 2 Cataracts Nursing Care Plans The major goals for the patient include:
Nursing InterventionsCare for a patient with cataract includes:
EvaluationEvaluation of the patient may include:
Discharge and Home Care GuidelinesThe nurse teaches the patient self-care before discharge: ADVERTISEMENTS
Documentation GuidelinesThe focus of documentation in a patient include:
Practice Quiz: CataractHere’s a 5-item quiz about the study guide. Please visit our nursing test bank page for more NCLEX practice questions. 1. Nurse Kaye is carrying out her operative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says: A. “I will sleep on my left side after surgery.” 2. After cataract surgery, the patient is encouraged to: A. Maintain bed rest for 1 week. 3. Upon assessment, the patient told the nurse that she was experiencing the three common symptoms found with cataracts and these are listed below except for: Which instruction is important for the nurse to provide to the client after cataract surgery?Do not rub or press on your eye. Sleep on your back or on your unoperated side for 2 nights. If instructed, wear a bandage over your eye for 2 days and 2 nights. If instructed, wear a shield to protect your eye for 2 days and 2 nights.
What should be included in the discharge teaching for the patient who had cataract surgery?Activity level. Don't drive for 2 days or as instructed by your eye care provider.. Don't drink alcohol for at least 24 hours.. Don't bend at the waist to pick up objects or lift anything heavy for 2 days.. Relax for the first 24 hours after surgery. Watching TV and reading are OK and won't harm your eye.. What are post op instructions for cataract surgery?Allen Eghrari, ophthalmologist with the Wilmer Eye Institute, Johns Hopkins Medicine outlines five helpful tips to remember each day while recovering from cataract surgery.. Limit Strenuous Activity. ... . Shield Yourself from Irritants or Trauma. ... . Keep Out of the Pool, and Shower Carefully. ... . Avoid Driving. ... . Follow Doctor's Orders.. What should I monitor after cataract surgery?Symptoms to watch for after cataract surgery. Vision loss.. Pain that persists despite the use of over-the-counter pain medications.. Light flashes or multiple spots (floaters) in front of your eye.. Nausea, vomiting or excessive coughing.. |