Page 1938 - Saunders Comprehensive Review For NCLEX-RN

e. Ultrasonography may be performed to
determine tumor size and location.
4. Interventions
a. Surgery: Enucleation
b. Radiation may be given via a
radioactive plaque that is sutured to
the sclera; the radioactive plaque
remains in place until the prescribed
radiation dose is delivered.
I. Enucleation and exenteration
1. Description
a. Enucleation is the removal of the entire
eyeball.
b. Exenteration is the removal of the
eyeball and surrounding tissues and
bone.
c. The procedures are performed for the
removal of ocular tumors.
d. After the eye is removed, a ball implant
is inserted to provide a firm base for a
socket prosthesis and to facilitate the
best cosmetic result.
e. A prosthesis is fitted about 1 month
after surgery.
2. Preoperative interventions
a. Provide emotional support to the client.
b. Encourage the client to verbalize
feelings related to loss.
c. Encourage family support in care.
3. Postoperative interventions
a. Monitor vital signs.
b. Assess a pressure patch or dressing as
prescribed.

c. Report changes in vital signs or

the presence of bright red drainage on
the pressure patch or dressing.
J. Hyphema
1. Description: Presence of blood in the anterior chamber
that occurs as a result of an injury; usually resolves in
5 to 7 days.
2. Interventions

a. Encourage rest in a semi-

Fowler’s position.
b. Avoid sudden eye movements for 3 to 5
days to decrease the likelihood of

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