Following an enucleation procedure for a patient with retinoblastoma, it is important for the nurse to do which of the following?

Observe for bright red drainage

Explanation

•Enucleation is the removal of the eye. Enucleation is performed where there is no chance of preserving vision in the affected eye.

•After enucleation, the surgeon will insert an implant in the empty socket. Bright red drainage would indicate hemorrhage.

Incorrect options:

•Assessment of the affected eye's reactivity is not needed. There will be no pupil reactivity in the affected eye because it has been removed and replaced with an implant.

•It is important to assess vital signs after a procedure, but the assessments for bleeding due to risk of hemorrhage is of greater importance.

•Applying pressure to the site is not needed. During surgery, the surgeon will stop the bleeding before inserting the implant.

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