A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?

The bright light in this room is really bothering me

It's hard to see with a patch on one eye, I'm afraid of falling

My eye really itches but I'm trying not to rub it

I need something for the pain in my eye, I can't stand it

Answer and Explanation

The Correct Answer is D

Choice A reason: Bright light sensitivity is a common side effect following cataract surgery and can be managed with appropriate measures such as wearing sunglasses. It does not necessarily indicate a complication requiring immediate reporting.

Choice B reason: Difficulty seeing with a patch on one eye and fear of falling are valid concerns, but they do not necessarily indicate an immediate complication that requires urgent reporting to the healthcare provider.

Choice C reason: Eye itching is common after cataract surgery, and the client should be advised not to rub the eye to prevent infection or damage. This comment does not indicate a severe complication that needs immediate reporting.

Choice D reason: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention from the healthcare provider to prevent further complications and ensure the client's safety.

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Correct Answer is C

Explanation

Choice A reason: Pyridostigmine is used to treat myasthenia gravis, not for preventing Addisonian crisis in patients undergoing adrenalectomy. It is not related to adrenal hormone replacement.

Choice B reason: Tensilon (edrophonium) is used in the diagnosis of myasthenia gravis and is not relevant for managing adrenal insufficiency or preventing Addisonian crisis.

Choice C reason: Hydrocortisone intravenously is the correct choice for preventing Addisonian crisis in a client scheduled for adrenalectomy. Hydrocortisone provides the necessary corticosteroid replacement to manage the deficiency of adrenal hormones during and after surgery.

Choice D reason: Spironolactone is a potassium-sparing diuretic used to treat conditions like heart failure and hypertension. It is not used for preventing Addisonian crisis or managing adrenal insufficiency.

A. A client with congestive heart failure B. A client taking vancomycin C. A client with glomerulonephritis D. A client with bladder cancer E. A client with a traumatic injury directly onto the kidney

Correct Answer is ["B","C","E"]

Explanation

Choice A reason: Congestive heart failure can lead to prerenal injury due to decreased renal perfusion, but it is not a direct cause of intrarenal injury.

Choice B reason: Vancomycin is a nephrotoxic medication that can cause intrarenal injury. The drug can directly damage the renal tubules, leading to acute kidney injury.

Choice C reason: Glomerulonephritis involves inflammation of the glomeruli, which is a direct cause of intrarenal injury. This condition affects the kidney's filtering units, leading to impaired renal function.

Choice D reason: Bladder cancer is more associated with postrenal injury due to obstruction of urine flow, rather than intrarenal injury.

Choice E reason: A traumatic injury directly onto the kidney can cause damage to the renal tissue, leading to intrarenal injury. This type of injury affects the kidney itself and can result in acute kidney injury.

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A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is scheduled for an adrenalectomy. The nurse plans to administer which medication in the preoperative period to prevent Addisonian Crisis?

Correct Answer is C

Explanation

The nurse realizes that which clients are at risk for intra-renal injury? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?

A client is brought into the emergency room with sudden severe complaints of eye pain, blurred and decreased visual acuity, and extreme pressure in their eyes. The nurse would most likely suspect the client to have:

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