A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

a) "Use a sterile glove and applicator to apply the antibiotic ointment." Using sterile equipment is not necessary for the application of ophthalmic ointment. The key is proper hand hygiene to prevent the spread of infection.
b) "Keep your eye open for 30 sec after instilling the ointment." It is unnecessary to keep the eye open for 30 seconds after applying the ointment. It should be gently closed to help distribute the medication.
c) "Always wipe from the outer to the inner canthus when wiping away secretions." This is incorrect because wiping from the inner to the outer canthus is recommended to prevent contamination of the clean parts of the eye.
d) "Apply the ointment in a thin line into the conjunctival sac." This is the correct method for applying the ointment, ensuring that the medication reaches the affected area.

a) "Moderate to severe pain is expected." Mild discomfort or a sensation of something in the eye is common after cataract surgery, but moderate to severe pain is not expected. Significant pain may indicate complications such as infection or increased intraocular pressure.
b) "Resume usual activities immediately." The patient should avoid strenuous activities, bending, lifting, and sudden movements that could increase intraocular pressure or cause trauma to the eye.
c) "Always lie on the unaffected side." The patient should avoid sleeping on the operative side to prevent pressure on the eye. Lying on the unaffected side is encouraged, but the primary goal is to avoid pressure on the operated eye.
d) "Expect a small amount of bleeding." A small amount of bleeding or clear drainage may occur in the early postoperative period, which is typically not concerning unless it becomes excessive or persistent.
e) "Avoid pressure on the operative eye." Avoiding pressure on the operative eye is essential to prevent complications such as dislodging the lens or increasing intraocular pressure.