Page 1941 - Saunders Comprehensive Review For NCLEX-RN

after death and stored in a preserving
solution because of rapid endothelial
cell death.
c. Storage, handling, and coordination of
donor tissue with surgeons is provided
by a network of state and national eye
bank associations.

2. Care to the deceased client as a potential eye

donor
a. The option of eye donation is discussed
with the family.
b. Raise the head of the bed 30 degrees.
c. Instill antibiotic eye drops as
prescribed.
d. Close the eyes and apply a small ice
pack as prescribed to the closed eyes.

3. Preoperative care to the recipient of the cornea

a. The recipient may be told of the tissue
(cornea) availability only several hours
to 1 day before the surgery.
b. Assist in alleviating client anxiety.
c. Assess the recipient’s eye for signs of
infection.
d. Report the presence of any redness,
watery or purulent drainage, or edema
around the recipient’s eye to the
PHCP.
e. Instill antibiotic drops into the
recipient’s eye as prescribed to reduce
the number of microorganisms
present.
f. Administer fluids and medications
intravenously as prescribed.

4. Postoperative care to the recipient

a. The eye is covered with a patch and
protective shield that is left in place for
1 day.
b. Do not remove or change the dressing
without a PHCP’s prescription.
c. Monitor vital signs.
d. Monitor level of consciousness.
e. Assess the eye dressing.
f. Position the client with the head
elevated and on the nonoperative side

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