A nurse is providing postoperative teaching to a client who is scheduled for cataract surgery. Which of the following information should the nurse include?
"Warm compresses should be applied to the eye three times daily."
"Bloodshot eyes on the day of surgery should be reported to the provider."
"Photophobia is expected for 2 to 3 days."
"Vision will be greatly improved on the day of surgery."
The Correct Answer is C
A. Warm compresses are not recommended after cataract surgery. The usual teaching involves avoiding pressure, heavy lifting, or bending, not applying compresses.
B. Mild redness or bloodshot appearance is expected after cataract surgery and usually resolves within a few days. This does not require reporting unless accompanied by severe pain, sudden vision loss, or purulent drainage.
C. Sensitivity to light and mild discomfort are expected findings for a couple of days postoperatively as the eye heals.
D. Vision typically improves gradually over several days to weeks as the eye heals, not immediately on the day of surgery.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Morphine is commonly prescribed postoperatively for pain management, so this is not a contraindication.
B. Morphine slows gastrointestinal motility, which can worsen a paralytic ileus and lead to severe complications. This is a contraindication.
C. Morphine is often used in myocardial infarction to relieve pain and anxiety and to reduce cardiac workload, so it is appropriate.
D. While morphine should be used cautiously in patients with respiratory conditions, bronchitis with pleurisy is not an absolute contraindication. Monitoring respiratory status is required, but use may still be appropriate.
Correct Answer is D
Explanation
Rationale:
A. Bacterial conjunctivitis is highly contagious, so monitoring close contacts is appropriate.
B. "I will not share towels with my friends or family." Prevents spread of infection.
C. "I will wash my hands often during the day.": Frequent handwashing helps prevent transmission.
D. "I will remove my contact lenses at bedtime. "Patients with bacterial conjunctivitis should avoid wearing contact lenses entirely until the infection has resolved. Simply removing them at bedtime is not sufficient, so this statement indicates a need for further teaching.
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