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 C
Explanation
a) Normal hearing: In normal hearing, air conduction (AC) should be greater than bone conduction (BC), meaning BC > AC is not a normal finding.
b) Cochlear defect: A cochlear defect would result in sensorineural hearing loss, which would show a normal Rinne test (AC > BC).
c) Conductive hearing loss: BC > AC indicates conductive hearing loss, where sound transmission through the external or middle ear is impaired, allowing bone conduction to be heard more clearly than air conduction.
d) Sensorineural hearing loss: Sensorineural hearing loss typically shows a normal or positive Rinne test (AC > BC), as the issue lies with the inner ear or auditory nerve, not the conduction of sound.
Correct Answer is ["A","C","D"]
Explanation
a) Validate that the battery is correctly placed: Ensuring the battery is correctly placed is a crucial first step when troubleshooting a hearing aid, as improper placement can prevent the device from working.
b) Open the earpiece to see if the microphone wire is connected: Opening the earpiece is unnecessary unless there is a visible issue with the device. The first step should be checking the battery and the device settings.
c) Check to see if the device is turned on: It's important to verify that the hearing aid is powered on, as a common issue could be that the device was accidentally turned off.
d) Clean the earpiece and remove cerumen clogged in the vent: Cerumen buildup can block sound transmission, so cleaning the earpiece and vent is an important step in maintaining proper functionality of the hearing aid.
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