A nurse at an outpatient surgery center is providing discharge instructions to a patient and their spouse following the surgical removal of a cataract.
What should the nurse include in these instructions?
Take ibuprofen for eye discomfort.
Wear dark glasses while outdoors.
Notify the provider immediately if the operative eye itches.
Creamy white drainage is an indication of infection.
The Correct Answer is B
Choice A rationale
Taking ibuprofen for eye discomfort after cataract surgery is not typically recommended. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, which can be problematic after eye surgery.
Choice B rationale
Wearing dark glasses while outdoors is often recommended after cataract surgery. This is because the eyes can be sensitive to light after the procedure. Dark glasses can help to protect the eyes from bright light and reduce discomfort.
Choice C rationale
Itching in the operative eye is not typically a sign of a serious problem after cataract surgery. Some itching can be normal as the eye heals. However, severe pain, vision loss, or heavy discharge should be reported to the provider immediately.
Choice D rationale
Creamy white drainage is not an indication of infection. In fact, it could be a sign of a more serious problem, such as an eye infection. Any changes in vision, pain, redness, or discharge should be reported to the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Peptic ulcer disease is not a common complication of difficulty swallowing after a stroke. It is typically caused by an infection with the bacterium Helicobacter pylori or long-term use of nonsteroidal anti-inflammatory drugs.
Choice B rationale
Dumping syndrome is not a common complication of difficulty swallowing after a stroke. It is a condition that can occur after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight.
Choice C rationale
Aspiration is a common problem for people with dysphagia, a condition that can occur after a stroke. It occurs when something you’ve swallowed enters the airway and lungs. Normally, aspiration causes a violent cough, but a stroke can reduce sensation. In this case, you may not know you’re aspirating (silent aspiration)5.
Choice D rationale
Gastroesophageal reflux disease (GERD) is not a common complication of difficulty swallowing after a stroke. GERD is a chronic disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining.
Correct Answer is D
Explanation
Choice A rationale
While a 25-year-old planning to lose 20 pounds after childbirth may have increased nutritional needs, they would not typically be considered at higher risk for malnutrition unless there were other factors such as inadequate diet or certain health conditions.
Choice B rationale
A 65-year-old who recently underwent hernia surgery might have temporary changes in diet or appetite related to the surgery, but would not typically be at high risk for malnutrition unless there were other ongoing issues such as poor diet, difficulty eating, or a chronic health condition.
Choice C rationale
A 70-year-old who has been fasting since midnight in preparation for a colonoscopy would not typically be at risk for malnutrition from this short-term fast. However, if they had ongoing issues with diet, appetite, or a chronic health condition, they could potentially be at risk.
Choice D rationale
A 55-year-old who has been consuming alcohol for 35 years is at higher risk for malnutrition. Alcohol can interfere with the body’s ability to absorb and use nutrients, and individuals with long-term heavy alcohol use may also have other lifestyle factors that increase their risk for malnutrition.
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