A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching?
Avoid bending at the waist.
Seeing flashes of light is an expected finding following extraction.
Remove the eye shield at bedtime.
Limit the use of laxatives if constipated.
The Correct Answer is A
a) Avoid bending at the waist: Avoiding bending at the waist reduces the risk of increasing intraocular pressure, which could interfere with healing after cataract extraction.
b) Seeing flashes of light is an expected finding following extraction: Seeing flashes of light can be a sign of retinal detachment, which should be reported to a provider immediately.
c) Remove the eye shield at bedtime: The eye shield should be worn while sleeping to protect the eye, typically for several weeks after surgery.
d) Limit the use of laxatives if constipated: This is generally not a concern in cataract surgery aftercare. Stool softeners may be recommended instead to prevent straining.
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Related Questions
Correct Answer is C
Explanation
a) 2 weeks: It’s typically too early for fitting a prosthesis after enucleation. Healing time is required before the fitting.
b) 4 weeks: While closer, the patient will likely need a longer healing period before fitting.
c) 8 weeks: Generally, a prosthesis can be fitted around 8 weeks post-enucleation, allowing enough time for the eye socket to heal and settle.
d) 12 weeks: Although healing may take longer, 8 weeks is the most common timeframe for prosthesis fitting.
Correct Answer is A
Explanation
a) "I will bend at my knees if I need to pick something up off of the floor." This statement shows an understanding of the importance of avoiding bending over at the waist post-surgery, which can increase intraocular pressure and disrupt the healing process.
b) "I can begin lying on my operative side 24 hours after my surgical procedure." Lying on the operative side should be avoided to prevent pressure on the healing eye.
c) "I will take a dose of aspirin if I have pain in the area of my eyebrow." Aspirin should generally be avoided after cataract surgery due to its anticoagulant effects, which may increase the risk of bleeding.
d) "I can pick up a sack of groceries that weighs 15 pounds." Lifting heavy objects is discouraged after cataract surgery to avoid putting pressure on the eye and affecting healing.
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