NCLEX RN Practice Question # 465

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Enucleation and exenteration


  • Enucleation is the removal of the entire eyeball.
  • Exenteration is the removal of the eyeball and surrounding tissues and bone.
  • The procedures are performed for the removal of ocular tumors.
  • After the eye is removed, a ball implant is inserted to provide a firm base for a socket prosthesis and to facilitate the best cosmetic result.
  • A prosthesis is fitted about 1 month after surgery.

Preoperative interventions

  • Provide emotional support to the client.
  • Encourage the client to verbalize feelings related to loss.

Postoperative interventions

  • Monitor vital signs.
  • Assess a pressure patch or dressing as prescribed.
  • Report changes in vital signs or the presence of bright red drainage on the pressure patch or dressing.

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