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. Parkinson's disease is not generally considered to be caused by an autoimmune reaction or a recent infection. Autoimmune reactions leading to neurodegeneration are more commonly associated with other conditions such as multiple sclerosis, not Parkinson's disease.
B. The exact cause of Parkinson's disease is indeed unknown, but research suggests that it results from a combination of genetic predispositions and environmental factors. Genetic mutations may contribute to the development of Parkinson's disease in some individuals, while environmental factors such as exposure to certain toxins or other external influences might also play a role. The interplay between these factors is still being studied.
C. There is no evidence to support the idea that Parkinson's disease is caused by the reactivation of a virus affecting cranial nerve VII (the facial nerve). Parkinson's disease involves the degeneration of dopamine-producing neurons in the brain, not specifically related to viral reactivation or isolated to cranial nerve VII.
D. Demyelination of nerves is characteristic of multiple sclerosis, not Parkinson's disease. In Parkinson's disease, the primary issue is the loss of dopamine-producing neurons in the substantia nigra of the brain, not demyelination. This option describes a different pathological process unrelated to Parkinson's disease.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

Peritonitis
Peritonitis is an infection of the peritoneum (the lining of the abdominal cavity), often related to peritoneal dialysis. It can present with abdominal pain, fever, rigidity, and rebound tenderness,
consistent with the client’s symptoms. Cloudy effluent is also a common sign of peritoneal dialysis- related peritonitis.

Peritoneal dialysis
Peritoneal dialysis is a type of dialysis that uses the peritoneum (abdominal lining) to filter blood. If there is an issue with the dialysis process, it could lead to complications such as peritonitis. This is consistent with the client's symptoms, such as abdominal pain, fever, nausea, vomiting, and cloudy effluent.

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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 client who has a new diagnosis of Parkinson's Disease asks the nurse "Why did I develop this disease? What caused it?" Which response should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for a 44-year-old female client in the emergency department. Exhibits Complete the following sentence by using the list of options. The client is experiencing caused by

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

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