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."

Answer and Explanation

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.

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

Explanation

a) Avoid lifting anything heavier than 5 lb: Lifting heavy objects can increase intraocular pressure and increase the risk of complications, so this is important to include in discharge instructions.
b) Avoid bending over: Bending over may increase intraocular pressure, which could affect the healing process after cataract surgery.
c) Use stool softeners: Stool softeners are recommended to prevent straining during bowel movements, which could increase intraocular pressure and interfere with healing.
d) Sleep on the affected side: The client should avoid sleeping on the affected side to prevent pressure on the operated eye.

A. "I will bend at my knees if I need to pick something up off of the floor." B. "I can begin lying on my operative side 24 hours after my surgical procedure." C. "I will take a dose of aspirin if I have pain in the area of my eyebrow." D. "I can pick up a sack of groceries that weighs 15 pounds."

Correct Answer is A

Explanation

a) "I will bend at my knees if I need to pick something up off of the floor." This statement shows an understanding of the importance of avoiding bending over at the waist post-surgery, which can increase intraocular pressure and disrupt the healing process.
b) "I can begin lying on my operative side 24 hours after my surgical procedure." Lying on the operative side should be avoided to prevent pressure on the healing eye.
c) "I will take a dose of aspirin if I have pain in the area of my eyebrow." Aspirin should generally be avoided after cataract surgery due to its anticoagulant effects, which may increase the risk of bleeding.
d) "I can pick up a sack of groceries that weighs 15 pounds." Lifting heavy objects is discouraged after cataract surgery to avoid putting pressure on the eye and affecting healing.

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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?

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Naxlex Comprehensive Predictor Exams

A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.)

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

Explanation

A nurse is reinforcing discharge teaching with a client who is postoperative following a cataract extraction. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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