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 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.
Correct Answer is D
Explanation
a) Mineralocorticoids: These are not used for allergic rhinitis. They primarily regulate sodium and potassium balance in the body.
b) Cortisol: Cortisol is a hormone, not a medication prescribed specifically for rhinitis.
c) Leukotrienes: These are used for allergic rhinitis treatment when antihistamines and sympathomimetics are ineffective. Leukotriene receptor antagonists help reduce inflammation.
d) Corticosteroids: Corticosteroids are commonly prescribed for allergic rhinitis, especially for persistent symptoms that do not respond to other medications.
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