A nurse is caring for a client who has bilateral eye patches in place following an injury.
When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

Ask the client if she would prefer a liquid diet.

Assign an assistive personnel to feed the client.

Explain to the client that her tray is here and place her hands on it.

Describe to the client the location of the food on the tray.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Asking the client if she would prefer a liquid diet does not promote independence in eating. It may limit the client’s dietary options and does not address the need for the client to learn how to eat independently with bilateral eye patches.

Choice B rationale

Assigning an assistive personnel to feed the client does not promote independence. It makes the client reliant on others for feeding, which does not help in developing self-feeding skills.

Choice C rationale

Explaining to the client that her tray is here and placing her hands on it is a step towards promoting independence. However, it does not provide enough information for the client to locate and identify the food items on the tray independently.

Choice D rationale

Describing to the client the location of the food on the tray promotes independence by enabling the client to use her sense of touch and memory to locate and consume the food items without assistance.

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Correct Answer is D

Explanation

Choice A rationale

Use of eye drops helps manage intraocular pressure but does not improve vision over time. The goal is to prevent further vision loss.

Choice B rationale

Double vision is not a common symptom of glaucoma. Glaucoma typically affects peripheral vision first.

Choice C rationale

Glaucoma is caused by increased intraocular pressure, not inadequate production of fluid within the eye.

Choice D rationale

Without treatment, glaucoma can cause blindness. It is essential to manage the condition to prevent vision loss.

A. Notify the surgeon if white drainage develops on the eyelids. B. Sleep on the abdomen to facilitate wound healing. C. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. D. Bend at the waist to pick objects up from the floor.

Correct Answer is C

Explanation

Choice A rationale

White drainage on the eyelids is not a normal finding and should be reported to the surgeon. However, this is not a standard discharge instruction but rather a sign of potential infection.

Choice B rationale

Sleeping on the abdomen is not recommended after cataract surgery as it can increase pressure on the eye and disrupt healing. Patients are usually advised to sleep on their back or the unaffected side.

Choice C rationale

Avoiding lifting anything heavier than 4.5 kg (10 lb) for 1 week is a standard instruction to prevent increased intraocular pressure and ensure proper healing of the surgical site.

Choice D rationale

Bending at the waist to pick up objects can increase intraocular pressure and should be avoided. Patients are advised to bend at the knees instead.

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A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

Nursing Test Bank

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A nurse is caring for a client who has bilateral eye patches in place following an injury.
When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?