A patient is being discharged after cataract surgery. Discharge instructions should include which of the following statements? (Select all that apply.)
"Moderate to severe pain is expected."
"Resume usual activities immediately."
"Always lie on the unaffected side."
"Expect a small amount of bleeding."
"Avoid pressure on the operative eye."
Correct Answer : D,E
a) "Moderate to severe pain is expected." Mild discomfort or a sensation of something in the eye is common after cataract surgery, but moderate to severe pain is not expected. Significant pain may indicate complications such as infection or increased intraocular pressure.
b) "Resume usual activities immediately." The patient should avoid strenuous activities, bending, lifting, and sudden movements that could increase intraocular pressure or cause trauma to the eye.
c) "Always lie on the unaffected side." The patient should avoid sleeping on the operative side to prevent pressure on the eye. Lying on the unaffected side is encouraged, but the primary goal is to avoid pressure on the operated eye.
d) "Expect a small amount of bleeding." A small amount of bleeding or clear drainage may occur in the early postoperative period, which is typically not concerning unless it becomes excessive or persistent.
e) "Avoid pressure on the operative eye." Avoiding pressure on the operative eye is essential to prevent complications such as dislodging the lens or increasing intraocular pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Mineralocorticoids: These are not used for allergic rhinitis. They primarily regulate sodium and potassium balance in the body.
b) Cortisol: Cortisol is a hormone, not a medication prescribed specifically for rhinitis.
c) Leukotrienes: These are used for allergic rhinitis treatment when antihistamines and sympathomimetics are ineffective. Leukotriene receptor antagonists help reduce inflammation.
d) Corticosteroids: Corticosteroids are commonly prescribed for allergic rhinitis, especially for persistent symptoms that do not respond to other medications.
Correct Answer is C
Explanation
a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.
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