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"Which of the following procedures or assessments must the nurse perform when preparing a client for eye surgery?

a. Clipping the client's eyelashes
b. Verifying the affected eye has been patched 24 hours before surgery
c. Verifying the client has been NPO since midnight, or at least 8 hours before surgery.
d. Obtaining informed consent with the client's signature and placing the forms on the chart."

1 Answer

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Final answer:

When preparing a client for eye surgery, the nurse must ensure the client has been NPO since midnight or for at least 8 hours, and obtain informed consent. Confirmations of patient identity, surgical site, surgical procedure, and 'time out' checks are crucial elements of preoperative preparations.

Step-by-step explanation:

The correct procedure or assessment that must be performed by the nurse when preparing a client for eye surgery is verifying the client has been NPO (nothing by mouth) since midnight, or at least 8 hours before surgery. This is to ensure the patient's stomach is empty, decreasing the risk of aspiration. Another key responsibility of the nurse is obtaining informed consent with the client's signature and placing the forms on the chart, which ensures that the patient is aware of the procedure and any associated risks, thereby participating in the decision-making process. It's also essential that preoperative preparations include verifying the patient's identity, confirming the surgical site and procedure, and ensuring all necessary equipment is available and functioning properly, as well as confirming team members are aware of any known allergies the patient may have.

Prior to the induction of anesthesia, the staff, including at least the nurse and an anesthesia professional, must orally confirm the patient's identity, surgical procedure, and site. Then, a 'time out' is conducted right before the skin incision where the entire care team, including nurses, surgeons, and anesthesia professionals reviews aloud critical items such as the name of the procedure, equipment issues, and specimen labeling.

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