A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?

Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.

Notify the surgeon if white drainage develops on the eyelids.

Sleep on the abdomen to facilitate wound healing.

Bend at the waist to pick objects up from the floor.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract surgery.
Choice B rationale:
Any drainage should be reported, not just white.
Choice C rationale:
Sleeping position won’t necessarily affect wound healing in this case.
Choice D rationale:
Bending at the waist can increase intraocular pressure, which should be avoided.

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Correct Answer is D

Explanation

Choice A rationale:
While hypertension is a risk factor for stroke, it is modifiable through lifestyle changes and medication.
Choice B rationale:
Smoking is a modifiable risk factor for stroke. Quitting smoking can significantly reduce the risk of stroke.
Choice C rationale:
Obesity is a modifiable risk factor for stroke. Weight loss and maintaining a healthy weight can reduce the risk of stroke.
Choice D rationale:
Genetics is a nonmodifiable risk factor for stroke. Individuals with a family history of stroke are at a higher risk, and this cannot be changed.

A. Complete a neurological check. B. Increase the client's fluid intake. C. Administer the prescribed PRN antihypertensive medication. D. Hold the client's evening dose of digoxin.

Correct Answer is A

Explanation

Choice A rationale:
Completing a neurological check is the correct action. The client’s sudden confusion and drowsiness could indicate a neurological issue, such as a stroke.
Choice B rationale:
Increasing the client’s fluid intake is not the first action to take. While dehydration can cause confusion, other causes need to be ruled out first.
Choice C rationale:
Administering the prescribed PRN antihypertensive medication is not the first action to take. The client’s blood pressure is not elevated, so this medication is not needed at this time.
Choice D rationale:
Holding the client’s evening dose of digoxin is not the first action to take. The client’s symptoms are not necessarily related to this medication.

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A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?.

Correct Answer is D

Explanation

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8° C (98.2° F). Which of the following actions should the nurse perform?

Correct Answer is A

Explanation

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