A nurse is providing discharge instructions for a client following surgery with insertion of an intraocular lens.
Which of the following instructions should the nurse include?

Expect reduced vision for 48 hours after the procedure.

Restrict lifting objects greater than 10 pounds.

Take aspirin for discomfort.

Apply warm compresses for discomfort.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Vision may be temporarily blurred after intraocular lens surgery, but significant vision reduction for 48 hours is not typical and should be reported to a healthcare provider.

Choice B rationale

Restricting lifting objects greater than 10 pounds is crucial to prevent increased intraocular pressure and potential complications after surgery.

Choice C rationale

Aspirin should be avoided as it can increase the risk of bleeding. Alternative pain relief methods should be used.

Choice D rationale

Warm compresses are not recommended as they can increase inflammation and discomfort. Cold compresses may be more appropriate.

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Correct Answer is C

Explanation

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

A. Headaches and blurred vision. B. Tremors and weakness. C. Rash symptoms. D. Painful joints.

Correct Answer is C

Explanation

Choice A rationale

Headaches and blurred vision are not specific to stage I Lyme disease. These symptoms can occur in many other conditions and are not the primary indicators of early Lyme disease.

Choice B rationale

Tremors and weakness are not typical early signs of Lyme disease. These symptoms are more associated with neurological involvement, which occurs in later stages of the disease.

Choice C rationale

Rash symptoms, specifically erythema migrans (a bull’s-eye rash), are the hallmark of stage I Lyme disease. This rash appears at the site of the tick bite and is a key diagnostic feature.

Choice D rationale

Painful joints are more commonly seen in later stages of Lyme disease when the infection has spread and caused more systemic involvement.

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A nurse is providing discharge instructions for a client following surgery with insertion of an intraocular lens. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

Correct Answer is C

Explanation

A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease. The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?

Correct Answer is C

Explanation

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A nurse is providing discharge instructions for a client following surgery with insertion of an intraocular lens.
Which of the following instructions should the nurse include?