A nurse is caring for an infant who has gastroenteritis.

Which of the following assessment findings should the nurse report to the provider?

The correct answer is c. Remove the cap and place it sterile-side up on a clean surface.

Choice A rationale:

Placing sterile gauze over areas of spilled solution within the sterile field is incorrect. If solution is spilled within the sterile field, the entire field should be considered contaminated and a new sterile field should be set up

Choice B rationale:

Holding the irrigation solution bottle with the label facing away from the palm of the hand is incorrect. The label should face the palm of the hand to avoid contamination of the sterile field

Choice C rationale:

Removing the cap and placing it sterile-side up on a clean surface is correct. This ensures that the sterile side of the cap remains sterile and can be used to recap the bottle after pouring the solution

Choice D rationale:

Holding the bottle in the center of the sterile field when pouring the solution is incorrect. The bottle should be held over the edge of the sterile field to avoid contamination of the field if solution spills

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