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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

a) Position the client on the affected side to rest: This is incorrect. The client should avoid sleeping on the operated side to prevent pressure on the eye and reduce the risk of complications.
b) The client should wear dark glasses while outdoors: Dark glasses should be worn outdoors to protect the eye from bright light and reduce discomfort after cataract surgery.
c) The client should remain in bed for 3 days: This is unnecessary. The client should avoid strenuous activity but does not need to remain bedridden for 3 days.
d) Feed the client soft foods for several days: This is not necessary for cataract surgery recovery. There are no dietary restrictions related to the surgery.

A. "I will bend at my knees if I need to pick something up off of the floor." B. "I can begin lying on my operative side 24 hours after my surgical procedure." C. "I will take a dose of aspirin if I have pain in the area of my eyebrow." D. "I can pick up a sack of groceries that weighs 15 pounds."

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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A patient is being discharged after cataract surgery. Discharge instructions should include which of the following statements? (Select all that apply.)

Nursing Test Bank

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