A nurse is reinforcing discharge teaching with a client who is postoperative following cataract removal. Which of the following instructions should the nurse include in the teaching?

Remove the protective eye shield at bedtime.

Bend at the waist when picking up objects from the floor.

Avoid lying on the operative side.

Expect a brow headache for several days.

Answer and Explanation

The Correct Answer is C

Postoperative care following cataract surgery focuses on protecting the operative eye, preventing increased intraocular pressure, and promoting proper healing. Clients are taught to avoid activities that place strain on the eye or increase pressure within the surgical site. Nursing discharge teaching includes positioning precautions, eye protection measures, and recognition of complications such as infection or retinal detachment. Proper adherence to these instructions helps preserve vision and prevent surgical complications.

Rationale:
A. Removing the protective eye shield at bedtime is incorrect because the shield is usually worn while sleeping to protect the eye from accidental rubbing or pressure. The operative eye remains vulnerable during the early healing period, and nighttime protection helps prevent injury or disruption of the surgical repair following Cataract surgery.

B. Bending at the waist when picking up objects is contraindicated because this movement increases intraocular pressure. Increased pressure can place stress on the surgical site and increase the risk of hemorrhage or disruption of healing. Clients are instructed to squat or bend at the knees instead of bending forward.

C. Avoiding lying on the operative side is correct because direct pressure on the affected eye can impair healing and increase discomfort or intraocular pressure. Proper positioning helps protect the surgical site and reduces the risk of postoperative complications. Side-lying on the nonoperative side is generally preferred during recovery.

D. A brow headache persisting for several days is not expected and may indicate increased intraocular pressure or another postoperative complication. Clients should report severe eye pain or headache promptly because these findings can suggest complications requiring immediate evaluation. Normal postoperative discomfort is usually mild rather than severe or persistent.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Placenta previa is a pregnancy complication in which the placenta implants low in the uterus and partially or completely covers the cervical os. This abnormal positioning can lead to painless vaginal bleeding, especially in the second or third trimester as the cervix begins to efface and dilate. The condition poses a risk for maternal hemorrhage and fetal compromise due to disruption of placental attachment. Clinical management focuses on bleeding assessment, fetal monitoring, and preventing further cervical irritation.

Rationale:
A. Bright red vaginal bleeding is the hallmark finding of Placenta previa. The bleeding is typically painless and results from placental separation as the lower uterine segment stretches. The bright red color indicates fresh arterial bleeding, which is a key distinguishing feature from other obstetric emergencies.

B. A rigid abdomen is more commonly associated with placental abruption rather than placenta previa. In abruption, the placenta detaches prematurely, causing uterine tenderness and a board-like abdomen. Placenta previa typically presents without abdominal pain or uterine rigidity.

C. Increased fetal movement is not a typical finding in placenta previa and does not indicate pathology specific to this condition. Fetal movement patterns may vary but are not diagnostic or expected as a clinical sign of placenta previa. In severe cases of bleeding, fetal activity may actually decrease due to hypoxia.

D. Persistent uterine contractions are not characteristic of placenta previa. The uterus is usually soft and non-tender, and contractions are not a defining feature. If contractions occur, they may suggest labor or another obstetric complication rather than placenta previa.

A. "You will feel different after your rehab." B. "People manage to have full lives after a loss like this." C. "It will definitely be difficult at first, but you'll manage." D. "I can give you information about support groups."

Correct Answer is D

Explanation

Clients who experience an amputation often undergo significant psychological adjustment, including grief, body image disturbance, and altered self-concept. Emotional support during this period is essential as clients begin to process the loss and adapt to functional changes. Therapeutic communication techniques prioritize empathy, acknowledgment of feelings, and facilitating coping resources rather than minimizing or prematurely reassuring the client. Referral to support systems can help improve long-term adjustment and resilience.

Rationale:
A. “You will feel different after your rehab.” is overly general and minimizes the client’s expressed grief. It shifts focus to future change without acknowledging the current emotional distress. This type of reassurance can block further expression of feelings.

B. “People manage to have full lives after a loss like this.” may be intended as encouragement, but it can feel dismissive and invalidating to the client’s immediate emotional experience. It may also pressure the client to feel hopeful before they are ready to process the loss.

C. “It will definitely be difficult at first, but you’ll manage.” provides premature reassurance and assumes coping ability without exploring the client’s current emotional state. It may discourage further expression of grief and does not offer immediate therapeutic support.

D. “I can give you information about support groups.” is the most therapeutic response because it acknowledges the client’s ongoing adjustment needs and offers concrete resources. In clients experiencing limb loss such as after Traumatic amputation, support groups provide emotional validation, coping strategies, and connection with others who have experienced similar loss.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Area assessed	Findings
Neurological	Drowsy but easy to arouse.
Vital Signs	Temperature 35.3° C (95.5° F) Heart rate 60/min Respiratory rate 16/min Blood pressure 90/60 mm Hg Oxygen saturation 94% (oxygen at 2 L/min via nasal cannula) Rates pain as 1 on 0/10 pain scale.
Integumentary	Skin cool and moist to touch.

A nurse is reinforcing discharge teaching with a client who is postoperative following cataract removal. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative following the amputation of their hand. The client states, "I'll never get used to not having my hand." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is assisting in caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client in the clinic. Complete the following sentence by using the lists of options. The client is at greatest risk for developing dropdowndue to use ofdropdown.

A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory tests should the nurse monitor?

A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

A nurse is assisting with the care of a client who is 24 hours following a vaginal birth. Which of the following findings should the nurse report to the RN?

A nurse is monitoring a client's lower extremity following the placement of a cast earlier in the day. Which of the following findings should the nurse identify as manifestations of compartment syndrome? (Select all that apply.)

A nurse is assisting with the care of a client. A nurse is reviewing the client's electronic medical record. Which of the following findings on day 7 require further action? Select all that apply.