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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
a) Assess the 6 cardinal gazes: This test assesses cranial nerve III, IV, and VI (oculomotor, trochlear, and abducens), which control eye movement, not the optic nerve.
b) Ask the client to clench teeth: This tests cranial nerve V (trigeminal nerve), which controls sensation in the face and motor functions like chewing.
c) Anticipate the use of a tonometer: A tonometer measures intraocular pressure (IOP), which is related to glaucoma, but it does not specifically assess cranial nerve II.
d) Use a Snellen chart: The Snellen chart is used to test visual acuity, which evaluates the function of cranial nerve II (optic nerve).
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