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 B
Explanation
a) Decreasing viscosity of the tears and allowing fluid to drain away from the eye: This is incorrect. Osmotic agents do not act by affecting the viscosity of tears or enhancing drainage.
b) Increasing plasma osmolarity and drawing extracellular fluid into the blood: Osmotic agents, like mannitol, work by increasing plasma osmolarity, which draws excess fluid from the eye into the bloodstream, thereby lowering intraocular pressure.
c) Blocking production of aqueous humor: This is incorrect. Blocking production of aqueous humor is the mechanism of action of medications like beta-blockers (e.g., timolol), not osmotic agents.
d) Promoting outflow of the aqueous humor into the tear ducts: This is incorrect. Promoting outflow of aqueous humor is the mechanism of action for other medications, such as prostaglandin analogs, not osmotic agents.
Correct Answer is B
Explanation
a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.
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