After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?

Report signs of corneal rejection to the physician.

Elevate the patient's head and encourage increased fluid intake.

Reassure the patient that cloudiness is normal for several weeks after surgery.

Prepare the patient for emergency surgery.

Answer and Explanation

The Correct Answer is A

a) Report signs of corneal rejection to the physician: Cloudiness may indicate graft rejection, requiring immediate medical attention.
b) Elevate the patient's head and encourage increased fluid intake: This can help reduce intraocular pressure but does not address corneal rejection.
c) Reassure the patient that cloudiness is normal for several weeks: Persistent cloudiness is not typical and warrants evaluation.
d) Prepare the patient for emergency surgery: Emergency surgery is not the first step unless complications are severe.

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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.

A. Urinary output of 280 mL during previous 8 hr B. Pedal edema C. Hematuria D. Blood pressure 162/90 mm Hg

Correct Answer is D

Explanation

a) Urinary output of 280 mL during previous 8 hr: This output is within normal limits for an adult, so it does not require immediate reporting.
b) Pedal edema: Edema can occur with glomerulonephritis due to fluid retention, but it is not the most urgent sign.
c) Hematuria: Hematuria is a common finding in glomerulonephritis and does not necessarily require immediate intervention unless severe.
d) Blood pressure 162/90 mm Hg: A blood pressure of 162/90 mm Hg is high and could indicate worsening renal function or complications that require immediate medical attention.

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After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating discharge instructions for a client following a right cataract extraction. Which of the following client statements indicates the teaching is effective?

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Explanation

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Correct Answer is D

Explanation

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