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 B

Explanation

a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.

A. Bradycardia B. Hypertension C. Anemia D. Seizures

Correct Answer is A

Explanation

a) Bradycardia: Timolol, a beta-blocker, can cause bradycardia when absorbed systemically.
b) Hypertension: Timolol typically lowers blood pressure rather than increasing it.
c) Anemia: Timolol does not affect red blood cell production.
d) Seizures: Seizures are not associated with timolol use.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?

Correct Answer is A

Explanation

The nurse was discussing open-angle glaucoma with a patient who was newly diagnosed with glaucoma. Which statement by the patient indicates more teaching is needed?

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