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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Related Questions
Correct Answer is B
Explanation
a) "I expect to have moderately severe pain for 1-2 days." Pain after cataract surgery is usually mild to moderate and typically improves significantly within a few hours to a day. Severe pain should be reported to the healthcare provider.
b) "I will take a stool softener until my eye is healed." This statement reflects appropriate teaching, as stool softeners are commonly used after eye surgery to avoid straining during bowel movements, which could increase intraocular pressure.
c) "I will refrain from cooking for 1 week." There is usually no need to refrain from activities like cooking unless the patient experiences significant discomfort or difficulty. Resting and avoiding strenuous activities are more common recommendations.
d) "I will bend at the waist to tie my shoes." Bending at the waist can increase intraocular pressure, which is contraindicated after cataract surgery. The client should be instructed to bend at the knees instead.
Correct Answer is A
Explanation
a) A gradual hearing loss that occurs with aging: Presbycusis refers to the age-related gradual decline in hearing, especially in the higher frequencies. It is a common condition that affects older adults due to changes in the inner ear or auditory nerve.
b) Tinnitus that occurs with aging: Tinnitus, which is the perception of ringing or buzzing in the ears, is different from presbycusis. While tinnitus can occur with age, it is not synonymous with presbycusis, which specifically refers to age-related hearing loss.
c) A vision loss that occurs with aging: Vision loss associated with aging is called presbyopia, not presbycusis. Presbyopia is related to the loss of near-vision accommodation, while presbycusis is a hearing loss.
d) Nystagmus that occurs with aging: Nystagmus is an involuntary eye movement that is not specifically related to aging. It can occur in various neurological conditions but is not a hallmark of presbycusis.
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