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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Women with lupus should ensure that they get plenty of sun each day while they are pregnant. Exposure to sunlight can exacerbate lupus symptoms, especially in women with lupus photosensitivity. It's important for women with lupus to avoid excessive sun exposure and wear protective clothing and sunscreen.
B. Women with lupus should not become pregnant, because the disease poses too many risks. While pregnancy can pose additional risks for women with lupus, it is not always contraindicated. With proper management, many women with lupus can have healthy pregnancies.
C. It is important for women with lupus to receive frequent prenatal care and close monitoring of their lupus symptoms throughout pregnancy. This includes regular check-ups with a rheumatologist and obstetrician, monitoring of blood pressure, kidney function, and lupus activity, as well as screening for fetal development.
D. Women with lupus should avoid all medications during pregnancy to prevent harm to the baby. This is not always the case. Some medications may be necessary to manage lupus symptoms during pregnancy, and the benefits often outweigh the risks. It's important to discuss medication options with healthcare providers to determine the best course of action.
Correct Answer is C
Explanation
A. Elevated potassium levels (hyperkalemia) can occur in chronic kidney disease, as the kidneys struggle to excrete potassium. However, hyperkalemia does not typically cause visible crystals on the skin. It is more associated with cardiac arrhythmias and muscle weakness rather than skin manifestations.
B. Sodium imbalance is common in chronic kidney disease, often leading to fluid retention and hypertension. However, excess sodium does not result in crystal formation on the skin. Sodium issues are more related to fluid balance and blood pressure, not external crystalline deposits.
C. Urea is a waste product formed from the breakdown of proteins and is normally excreted by the kidneys. In chronic kidney disease, urea accumulates in the blood (uremia) because the kidneys cannot effectively filter it out. Urea can be deposited on the skin and form crystals, leading to a condition known as "uremic frost." This is often observed on the forehead or other areas of the skin and is a direct result of excess urea in the body.
D. Creatinine is another waste product filtered by the kidneys. Elevated levels indicate impaired kidney function, but creatinine itself does not form visible crystals on the skin. Elevated creatinine levels are primarily used as an indicator of kidney function rather than a cause of external skin manifestations.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.