A nurse is assessing a 2-year-old toddler.

Which of the following findings should the nurse expect?

The correct answer is d. “Your desire to be an organ donor must be documented in writing.”

Rationale for Choice a:

• Statement:“Your name cannot be removed once you are listed on the organ donor list.”
• Rationale:This statement is incorrect.Individuals have the right to change their minds about organ donation at any time.They can have their names removed from the organ donor list by contacting the appropriate registry or organization.It's essential for nurses to provide accurate information to ensure informed consent and respect for patient autonomy.

Rationale for Choice b:

• Statement:“You must be at least 21 years of age to become an organ donor.”
• Rationale:This statement is also incorrect.The age requirement for organ donation varies by jurisdiction.In many places,individuals under 18 years of age can register as organ donors with parental consent.Nurses should be familiar with local regulations to provide accurate guidance.

Rationale for Choice c:

• Statement:“I cannot be a witness for your consent to donate.”
• Rationale:While it's true that nurses generally cannot act as witnesses for organ donation consent,the focus of the response should be on directing the client to the appropriate channels for documentation.Nurses can play a role in facilitating the process by providing information and resources to clients who express interest in organ donation.

Rationale for Choice d:

• Statement:“Your desire to be an organ donor must be documented in writing.”
• Rationale:This is the correct response.To ensure clarity and legal validity,organ donation preferences must be documented in writing.This documentation can be done through various means,such as registering with an organ donor registry,indicating preferences on a driver's license,or completing an advance directive.Nurses should emphasize the importance of written documentation to protect the client's wishes.

This statement indicates that the client understands the need to avoid activities that can increase intraocular pressure, such as lifting heavy objects, bending over, coughing, or straining. An increase in intraocular pressure can cause complications such as bleeding, inflammation, or recurrent detachment of the retina.

Choice B is wrong because sewing is a near-vision activity that can cause eye strain and fatigue. The client should avoid near-vision activities for at least two weeks after surgery.

Choice C is wrong because jogging is a vigorous exercise that can cause jarring movements and increase blood pressure. The client should avoid vigorous exercise for at least six weeks after surgery.

Choice D is wrong because bending at the waist can increase intraocular pressure and compromise the healing of the retina. The client should avoid bending at the waist for at least two weeks after surgery.

The retina is the light-sensitive layer of tissue that lines the back of the eye.

It converts light into electrical signals that are sent to the brain through the optic nerve.

A detached retina occurs when the retina separates from its underlying tissue due to a tear, hole, or break in the retina.

This can cause vision loss or blindness if not treated promptly.

The most common treatment for a detached retina is a surgery called vitrectomy. It typically involves three main steps:

• The vitreous gel inside the eye must be removed.
• A gas bubble is injected into the eye to hold the retina against its underlying tissue while allowing it to heal.
• Laser or cryotherapy creates scar tissue that helps reattach the retina.

The recovery time after retinal detachment surgery varies depending on the type and extent of the detachment, the type of surgery, and the individual healing process of the client.

Some general guidelines to follow after retinal detachment surgery are:

• Rest your eyes for at least two weeks after the surgery.
• Wear sunglasses when outdoors, as bright light may cause discomfort and strain on the eye that has been operated upon.
• If your doctor recommends, use artificial tears every few hours to keep moisture in the eye and lubricate it correctly.
• Take your medicines as directed by your doctor.
• You may use ice on your eye to reduce swelling