A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?
"I expect to have moderately severe pain for 1-2 days."
"I will take a stool softener until my eye is healed."
"I will refrain from cooking for 1 week."
"I will bend at the waist to tie my shoes."
The Correct Answer is B
a) "I expect to have moderately severe pain for 1-2 days." Pain after cataract surgery is usually mild to moderate and typically improves significantly within a few hours to a day. Severe pain should be reported to the healthcare provider.
b) "I will take a stool softener until my eye is healed." This statement reflects appropriate teaching, as stool softeners are commonly used after eye surgery to avoid straining during bowel movements, which could increase intraocular pressure.
c) "I will refrain from cooking for 1 week." There is usually no need to refrain from activities like cooking unless the patient experiences significant discomfort or difficulty. Resting and avoiding strenuous activities are more common recommendations.
d) "I will bend at the waist to tie my shoes." Bending at the waist can increase intraocular pressure, which is contraindicated after cataract surgery. The client should be instructed to bend at the knees instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Has no serious complications: Bacterial pharyngitis, especially streptococcal pharyngitis, can have serious complications, such as rheumatic fever or glomerulonephritis, which are not seen with viral pharyngitis.
b) Presents a negative culture: Bacterial pharyngitis typically presents with a positive throat culture for bacteria, while viral pharyngitis typically shows a negative culture.
c) Has an abrupt onset: Bacterial pharyngitis often has a sudden and severe onset of symptoms, while viral pharyngitis tends to have a more gradual onset.
d) Presents a normal complete blood count (CBC): In bacterial pharyngitis, the CBC may show an elevated white blood cell count, while in viral pharyngitis, the CBC may remain normal or slightly elevated.
Correct Answer is C
Explanation
a) Leaving the bed in the highest position: This could create a fall risk for the visually impaired person, so it is not an appropriate intervention.
b) Leaving the radio on all the time to help the patient know the time of day: While this may provide some information, it is not the most effective approach for supporting a visually impaired client.
c) Announcing your presence when you enter and leave the room: This is an essential intervention to orient a visually impaired person and help them understand the environment.
d) Keeping the door closed: This could pose a safety risk by limiting the client’s ability to orient to the surroundings. It is generally better to keep doors open for better access and awareness.
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