A nurse is reinforcing discharge teaching with a client following outpatient cataract surgery.
Which of the following instructions should the nurse include in the teaching?
"Change the eye patch dressing once every 48 hours.”.
"Avoid bending at the waist.”.
"Consume foods that are low in fiber.”.
"Remove your eye shield before bedtime.”.
The Correct Answer is B
Choice A rationale
Eye patch dressings should typically be changed daily or as directed by a physician. Extending this to 48 hours risks accumulation of debris and infection, compromising healing following cataract surgery.
Choice B rationale
Bending at the waist increases intraocular pressure, which can disrupt healing after cataract surgery. Clients are instructed to avoid positions that strain the eye, ensuring proper recovery and minimizing complications.
Choice C rationale
Consuming low-fiber foods does not relate to cataract surgery recovery. Instead, clients are advised on hydration, nutrition, and avoiding activities that strain the body to promote effective healing.
Choice D rationale
Removing an eye shield before bedtime contradicts recovery guidelines, as the shield protects the eye during sleep. Clients are encouraged to wear the shield as directed to prevent accidental injury or contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Refrigerating a midstream urine sample aligns with proper storage protocols, as it prevents degradation and ensures accurate results. This action adheres to infection control standards, minimizing contamination risks during specimen processing.
Choice B rationale
Cleaning with chlorhexidine following a blood spill adheres to effective infection control practices. Chlorhexidine is a potent antiseptic that eliminates pathogens and reduces infection risks, particularly after exposure to bloodborne microorganisms.
Choice C rationale
Alcohol-based antiseptic is ineffective against varicella zoster, which requires soap and water or antimicrobial agents to ensure decontamination. Misuse of antiseptics in this scenario poses an infection hazard as the nurse may inadvertently facilitate pathogen transmission.
Choice D rationale
Using sterile 0.9% sodium chloride irrigation solution is a standard wound-cleaning procedure, promoting sterility and minimizing infection risks. This practice aligns with aseptic techniques critical in specimen collection and wound care management. .
Correct Answer is A
Explanation
Choice A rationale
A client with a new colostomy avoiding discussion of care may experience psychological distress, such as denial or anxiety, impacting recovery. Interprofessional conferences address emotional and practical needs collaboratively, ensuring comprehensive care planning for improved client adaptation.
Choice B rationale
A client with bacterial pneumonia receiving IV antibiotics typically follows a clear treatment plan. Their condition does not require further interprofessional intervention unless complications arise. Routine care and monitoring suffice for this predictable treatment trajectory.
Choice C rationale
Postponing surgery for diagnostic tests reflects informed decision-making and does not necessitate interprofessional conferences. This autonomy indicates the client is actively participating in their care decisions, which are progressing without barriers requiring team discussion.
Choice D rationale
A positive tuberculin skin test with a negative chest x-ray indicates latent tuberculosis infection. This situation follows routine preventative care protocols rather than immediate interprofessional collaboration, as it does not signify active disease or complex care needs. .
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