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 D

Explanation

a) Produces miosis of the operative eye: Miosis refers to pupil constriction, and cyclopentolate causes pupil dilation, not constriction.
b) Constricts the pupil of the operative eye: Cyclopentolate causes dilation of the pupil, not constriction.
c) Provides lubrication to the operative eye: Cyclopentolate does not provide lubrication. It is used to dilate the pupil and paralyze accommodation for the surgery.
d) Dilates the pupil of the operative eye: Cyclopentolate works as a mydriatic agent, which dilates the pupil to facilitate the surgery by allowing better visualization of the cataract and the lens.

A. A red, dull, thick, and immobile tympanic membrane B. A transparent and dear tympanic membrane C. A pink-colored tympanic membrane D. A pearly colored tympanic membrane

Correct Answer is A

Explanation

a) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.

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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

In preparation for cataract surgery, the nurse is to administer cyclopentolate (Cyclogyl) eyedrops. The nurse understands that which characterizes the medication action?

Correct Answer is D

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Correct Answer is A

Explanation

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