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
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: Chronic open-angle glaucoma is a gradual condition that usually progresses without noticeable symptoms until significant vision loss has occurred. It is characterized by the gradual buildup of pressure within the eye, but it does not present with sudden, severe symptoms.
Choice B reason: Retinal detachment presents with symptoms such as flashes of light, floaters, and a curtain-like shadow over the field of vision, but it does not typically cause severe pain or pressure in the eyes.
Choice C reason: Cataracts cause blurred vision and decreased visual acuity but develop slowly over time and do not cause sudden severe eye pain or extreme pressure.
Choice D reason: Acute angle-closure glaucoma is characterized by sudden, severe eye pain, blurred and decreased visual acuity, and increased intraocular pressure. This condition is a medical emergency that requires immediate treatment to prevent permanent vision loss.
Correct Answer is A
Explanation
Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.
Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.
Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.
Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.
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