A nurse is providing discharge education to a client who has undergone extracapsular cataract extraction surgery. What should the nurse include in the discharge teaching? (Select all that apply.)

Wash your hands before administering your eye drops.

It is likely that cataracts will grow back on the implanted lens.

Bend at the waist if you need to reach something on the ground.

You will need to come back in 14 days to have the sutures removed.

Wear the shield at night until you are cleared by the physician.

Answer and Explanation

Correct Answer : A,E

A.   Proper hand hygiene is critical to prevent introducing infections into the eye, especially after eye surgery. The client should always wash their hands before touching their eyes or administering any eye drops to maintain sterility and reduce the risk of infection.
B.   After extracapsular cataract extraction, the cataract itself does not grow back on the implanted lens. However, a condition called posterior capsule opacification (PCO) can occur, where the membrane behind the lens becomes cloudy. This can be treated with a simple outpatient procedure called YAG laser capsulotomy.
C.   Bending at the waist can increase intraocular pressure and put strain on the eye, which can hinder healing or increase the risk of complications. The client should be advised to avoid bending over and instead use alternative methods, such as bending their knees or getting assistance to reach items on the ground.
D.   In modern cataract surgery, many procedures are performed without sutures or with self-sealing techniques that do not require suture removal. The specific follow-up care, including whether sutures need to be removed, should be confirmed with the surgeon.
E.   Wearing an eye shield at night helps protect the eye from accidental rubbing or injury while sleeping, which is crucial for proper healing. The client should follow the physician's instructions regarding the duration of shield use, but wearing it until cleared by the physician is generally recommended to ensure the eye remains protected during the initial healing period.

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Correct Answer is B

Explanation

A. Canned tomato soup is often high in sodium, and grilled cheese sandwiches typically contain processed cheese, which is also high in sodium.
B. A low-sodium diet is essential for managing heart failure as it helps to reduce fluid retention and decrease the workload on the heart.
C. Frozen lasagna, especially those with a tomato sauce, can be high in sodium. Caesar salad dressing is often made with anchovies and Parmesan cheese, both of which are high in sodium.
D. Deli meats and processed cheese are both high in sodium and should be avoided or consumed in moderation on a low-sodium diet.

A. Atorvastatin B. Furosemide C. Methimazole D. Apixaban

Correct Answer is ["B","E"]

Explanation

A. Atorvastatin is a statin used primarily to manage hyperlipidemia (high cholesterol levels) and reduce cardiovascular risk. However, it is not specifically used to treat heart failure symptoms or manage acute exacerbations.
B. Furosemide is a loop diuretic commonly used to manage heart failure. It helps reduce fluid overload by promoting diuresis (increased urine production), which can help alleviate symptoms of heart failure such as edema and pulmonary congestion.
C. Methimazole is an antithyroid medication used to manage hyperthyroidism. It is not used to treat heart failure. Thyroid disorders can impact heart failure, but methimazole itself does not address the acute symptoms or underlying mechanisms of heart failure.
D. Apixaban is an anticoagulant (blood thinner) used to prevent blood clots in conditions like atrial fibrillation. However, it is not used specifically to manage acute heart failure symptoms.
E. Digoxin is a cardiac glycoside that can be used to manage heart failure, especially in patients with atrial fibrillation. It helps improve cardiac output and control heart rate. Digoxin can be useful in managing heart failure symptoms by enhancing the heart's contractility and controlling the heart rate.

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A nurse is providing discharge education to a client who has undergone extracapsular cataract extraction surgery. What should the nurse include in the discharge teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the importance of following a low-sodium diet with a client who has heart failure. Which of the following food items would be appropriate for this patient to choose?

Correct Answer is B

Explanation

A nurse is caring for a client with an acute heart failure exacerbation. Which of the following medications are commonly prescribed to manage heart failure? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

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