Answer:
As a nurse assigned to care for a client with a detached retina, one would expect to find documentation in the client's record regarding the specific diagnosis of a detached retina. This would typically include information about the location and extent of the detachment, as well as any associated symptoms such as floaters, flashes of light, or decreased vision.
Additionally, the nurse would expect to find documentation about the client's past medical history, particularly any previous eye conditions or surgeries, as well as any medications that the client is currently taking.
The nurse would also expect to find documentation about the client's initial assessment and any subsequent assessments, including visual acuity tests, tonometry, and funduscopy examination. Any additional diagnostic tests such as ultrasound, CT scan, or MRI may also be documented.
The nurse would also expect to find documentation about the client's treatment plan, including any surgical or non-surgical interventions that have been planned or implemented, and any medications that have been prescribed.
Furthermore, the nurse would expect to find documentation about the client's response to treatment, including any changes in symptoms or visual acuity, any complications that have occurred, and any adjustments to the treatment plan that have been made.
In summary, as a nurse caring for a client with a detached retina, one would expect to find documentation in the client's record regarding the specific diagnosis, past medical history, initial and subsequent assessments, treatment plan, and response to treatment. This documentation is important for monitoring the client's progress, making informed decisions about care, and communicating effectively with other members of the healthcare team.