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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Stating that the client had an allergic reaction to the ordered meperidine is not objective and does not provide specific details about the client’s condition.
Choice B rationale
Notifying the primary health care provider because the client developed a rash after receiving an opioid analgesic is important, but it does not include all the necessary details about the client’s condition.
Choice C rationale
Documenting that the client’s skin was warm and flushed, and a rash was noted on the chest and back is important, but it does not include the timing of the reaction or the client’s temperature.
Choice D rationale
Documenting that thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C), the client’s skin was warm and flushed, and a rash was noted on the chest and back provides a complete and objective account of the client’s condition and the timing of the reaction.
Correct Answer is A
Explanation
Choice A rationale
Cataracts cause the lens of the eye to become cloudy, leading to a decreased ability to perceive colors. This is due to the scattering of light as it passes through the cloudy lens, which reduces the clarity and vibrancy of colors.
Choice B rationale
Loss of peripheral vision is more commonly associated with glaucoma, a condition where increased intraocular pressure damages the optic nerve.
Choice C rationale
Seeing bright flashes of light and floaters is typically a symptom of retinal detachment, a serious condition where the retina pulls away from its normal position.
Choice D rationale
Loss of central vision is often linked to macular degeneration, a condition that affects the central part of the retina responsible for sharp, detailed vision.
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