A nurse is providing discharge teaching to a client following cataract surgery. Which of the following Instructions should the nurse Include?
Expect optimum visual acuity to return in 4 to 6 weeks,
Notify the provider if new floaters persist for more than 3 days.
Take aspirin every 4 to 6 hr for mild discomfort.
Avoid lifting objects that weigh 9.07 kg (20 lb) or more.
The Correct Answer is D
A) Expect optimum visual acuity to return in 4 to 6 weeks: While some improvement in vision can be noted soon after cataract surgery, optimal visual acuity typically returns within 1 to 2 months. It's important to set realistic expectations for recovery. Telling the patient to expect optimum visual acuity to return in 4 to 6 weeks provides a more accurate timeframe for complete visual recovery.
B) Notify the provider if new floaters persist for more than 3 days: The presence of new floaters can be a sign of complications such as retinal detachment or vitreous hemorrhage. However, patients are generally advised to notify their provider immediately if they notice any new floaters, flashes of light, or a sudden decrease in vision, rather than waiting for three days. Immediate notification can lead to prompt evaluation and treatment if necessary.
C) Take aspirin every 4 to 6 hr for mild discomfort: Aspirin is generally avoided postoperatively due to its blood-thinning properties, which can increase the risk of bleeding. Instead, non-aspirin pain relievers like acetaminophen are usually recommended to manage mild discomfort after cataract surgery, as they do not carry the same risk of bleeding complications.
D) Avoid lifting objects that weigh 9.07 kg (20 lb) or more: Patients are advised to avoid lifting heavy objects and engaging in strenuous activities after cataract surgery to prevent increased intraocular pressure, which can interfere with healing and potentially cause complications such as bleeding or dislocation of the intraocular lens. This instruction helps ensure the safety and proper healing of the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "Drink whole milk instead of skim milk": Whole milk contains higher levels of saturated fats compared to skim milk. For individuals with hyperlipidemia, it is advisable to reduce intake of saturated fats to help lower cholesterol levels and improve heart health. Drinking skim or low-fat milk is a healthier option to manage lipid levels.
B) "Limit saturated fat to 15 percent of total daily fat intake": The American Heart Association recommends that saturated fat intake should be limited to less than 7% of total daily calories for those managing hyperlipidemia. Limiting saturated fat to 15% is too high and can contribute to increased cholesterol levels, negatively impacting cardiovascular health.
C) "Select trans fats for daily fat intake": Trans fats are known to significantly raise LDL (bad) cholesterol levels and lower HDL (good) cholesterol, increasing the risk of heart disease. It is essential to avoid trans fats altogether in the diet, as they are detrimental to cardiovascular health.
D) "Replace red meat with fish three times per week": Replacing red meat with fish, especially fatty fish like salmon, mackerel, and sardines, can be beneficial for individuals with hyperlipidemia. Fish is a good source of omega-3 fatty acids, which can help lower triglyceride levels, reduce inflammation, and improve overall heart health. This dietary change supports better lipid management and reduces the risk of cardiovascular diseases.
Correct Answer is D
Explanation
A) Contact dermatitis: This condition results from an allergic reaction or irritation caused by contact with a substance, such as chemicals, detergents, or allergens. It is not a communicable skin infection and does not spread from person to person.
B) Actinic keratoses: These are rough, scaly patches on the skin caused by prolonged exposure to ultraviolet (UV) rays. They are considered precancerous lesions and are not contagious. They result from environmental factors rather than person-to-person transmission.
C) Psoriasis: This is a chronic autoimmune condition that leads to the rapid buildup of skin cells, causing scaling on the skin's surface. It is not contagious and does not spread through person-to-person contact. Psoriasis is an inherited condition influenced by immune system triggers.
D) Herpes zoster: Also known as shingles, this condition is caused by the reactivation of the varicella-zoster virus (the same virus that causes chickenpox). While shingles itself is not spread from person to person, the virus can be transmitted from a person with shingles to someone who has never had chickenpox, potentially causing chickenpox in the latter individual. The virus is spread through direct contact with the fluid from the blisters.
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