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

Explanation

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

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

•There will be no pupil reactivity in the affected eye, it has been removed and replaced with an implant.

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

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

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