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A nurse has reinforced instructions to a client who is scheduled for a cataract extraction. Which statement by the client indicates a need for further instruction?

a. No eating or drinking for at least 18 hours before the surgery.
b. Consuming a light meal 2 hours before the surgery is acceptable.
c. Drinking clear fluids up to 2 hours before the surgery is permitted.
d. Fasting for 24 hours before the surgery is necessary.

User Udpsunil
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1 Answer

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Final answer:

The statement that requires further instruction is the idea of consuming a light meal 2 hours before the surgery. Preoperative fasting guidelines usually prohibit the intake of solid foods for at least 6 to 8 hours before the procedure. The client should also be aware of guidelines on antibiotics and the 'time out' procedure before surgery.

Step-by-step explanation:

The subject of this question involves preoperative instructions for a client scheduled for cataract extraction. The client's statement indicating a need for further instruction is, "Consuming a light meal 2 hours before the surgery is acceptable." Preoperative fasting guidelines typically require the patient to refrain from eating solid foods for a period before surgery to reduce the risk of aspiration. Clear fluids may be allowed up to 2 hours before surgery, but solid foods are generally prohibited for at least 6 to 8 hours prior to the procedure. The client's statement suggests a misunderstanding of the preoperative fasting protocol, which suggests they need additional education to ensure their safety.

Additionally, the client should be informed about the importance of various preoperative procedures, such as the administration of prophylactic antibiotics 60 minutes before incision or confirmation that they are not indicated, and ensuring that all essential imaging results are displayed in the operating room. Furthermore, a 'time out' is taken before the skin incision, wherein the entire team confirms critical information and ensures everything is in order before proceeding with the surgery.

User Jack Cushman
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