A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.)
Avoid lifting anything heavier than 5 lb.
Avoid bending over.
Use stool softeners.
Sleep on the affected side.
Correct Answer : A,B,C
a) Avoid lifting anything heavier than 5 lb: Lifting heavy objects can increase intraocular pressure and increase the risk of complications, so this is important to include in discharge instructions.
b) Avoid bending over: Bending over may increase intraocular pressure, which could affect the healing process after cataract surgery.
c) Use stool softeners: Stool softeners are recommended to prevent straining during bowel movements, which could increase intraocular pressure and interfere with healing.
d) Sleep on the affected side: The client should avoid sleeping on the affected side to prevent pressure on the operated eye.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) 2 weeks: It’s typically too early for fitting a prosthesis after enucleation. Healing time is required before the fitting.
b) 4 weeks: While closer, the patient will likely need a longer healing period before fitting.
c) 8 weeks: Generally, a prosthesis can be fitted around 8 weeks post-enucleation, allowing enough time for the eye socket to heal and settle.
d) 12 weeks: Although healing may take longer, 8 weeks is the most common timeframe for prosthesis fitting.
Correct Answer is C
Explanation
a) Ability to contract and relax the dilator muscle: This refers to the iris muscles, but it does not relate directly to the measurement of intraocular pressure (IOP).
b) Resistance from the ciliary bodies: The ciliary body produces aqueous humor, but IOP measures the pressure exerted by the amount of aqueous humor, not resistance from the ciliary bodies.
c) Amount of aqueous humor: IOP is determined by the balance between the production and drainage of aqueous humor within the eye.
d) Tear duct capacity: Tear duct capacity relates to tear drainage, not intraocular pressure.
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