An older adult client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit?

Apply bilateral eye patches while sleeping.

Arrange food on the plate in clockwise order.

Verbally identify self when entering the room.

Use a white board to communicate ideas.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Apply bilateral eye patches while sleeping: Routine patching is not typically required after photocoagulation. This intervention may impair safety and independence unnecessarily, especially if only one eye was treated.

B. Arrange food on the plate in clockwise order: This technique supports clients with total blindness, but photocoagulation for macular degeneration usually preserves peripheral vision. Clock-face plate arrangement may not be necessary for partial vision loss.

C. Verbally identify self when entering the room: Clients with macular degeneration often lose central vision but retain peripheral vision. Verbal identification helps orient and reassure the client, supporting emotional comfort and safety in the postoperative period.

D. Use a white board to communicate ideas: White boards require intact central vision for reading. Clients with macular degeneration may struggle to see text, so verbal communication is generally more effective and appropriate.

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Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Ask the client if someone brought her to the clinic: This may be useful in a general assessment but is not directly relevant to the client's urinary symptoms, bruising, or potential abuse concerns. It does not guide immediate care.

B. Review list of daily medications for aspirin or other anticoagulants: Ecchymoses may indicate increased bleeding risk, especially in older adults on aspirin or anticoagulants. Reviewing medications helps determine if bruising is medication-related or from trauma.

C. Question her if she previously or currently uses any illicit drugs: There’s no clinical indicator pointing toward drug use. This line of questioning may be inappropriate or unnecessary unless other findings support it.

D. Inquire if she is being emotionally or physically abused: Unexplained bruising, especially in older adults, can signal possible abuse. The nurse should screen for abuse sensitively and privately.

E. Determine number of sexual partners she has had recently: Given her report of sexual activity and urinary burning, assessing recent sexual history helps guide further STI screening and urinary symptom evaluation.

A. Duration of sensation. B. Precipitous activiity. C. Time of last analgesic. D. Gait coordination.

Correct Answer is A

Explanation

Rationale:
A. Duration of sensation: This helps to determine if the symptoms are acute, intermittent, or continuous, which can provide clues about the severity of nerve compression or irritation. Changes in duration, frequency, or intensity can indicate worsening nerve impingement or the development of a new neurological deficit requiring immediate attention.

B. Precipitous activity: While it's useful to know what activity triggered the symptoms, this is secondary to understanding the timeline and progression of neurological signs, which carry more urgency.

C. Time of last analgesic: Pain control is important, but the priority is evaluating potential nerve compromise. Numbness and tingling may reflect compression or damage that cannot be addressed by analgesia alone.

D. Gait coordination: Assessing gait coordination is important to evaluate the functional impact of the neurological symptoms, which could indicate more severe nerve compression affecting motor pathways. However, it is an assessment of a motor function. The client is describing sensory symptoms.

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An older adult client is having photocoagulation for macular degeneration. Which intervention should the nurse implement during the postprocedure care in the outpatient surgical unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E"]

Explanation

A female client with degenerative disc disease and chronic sciatica is describing numbness and tingling down her left leg. Which assessment should the nurse obtain first?

Correct Answer is A

Explanation

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