An older adult client who has difficulty hearing is being discharged from day surgery following a cataract extraction and lens implantation. Which intervention is most important for the nurse to implement to help ensure the client's compliance with self care?
Ensure that someone will stay with the client for 24 hours.
Have the client vocalize the instructions provided.
Speak clearly and face the client for lip reading.
Provide written instructions for eye drop administration.
The Correct Answer is D
A. Ensuring that someone stays with the client for 24 hours is important for immediate postoperative care but does not directly ensure compliance with self-care instructions.
B. Having the client vocalize the instructions ensures that the client understands and can recall the information provided, which is crucial for compliance with self-care. However, it does not provide a point of reference while at home.
C. Speaking clearly and facing the client for lip reading is helpful for communication but does not ensure that the client fully understands and can follow the instructions.
D. Providing written instructions is crucial because written instructions can serve as a reference for the client to review as needed, ensuring they understand and follow the postoperative care procedures, which is essential for preventing complications and promoting healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While it's important to know about peripheral pulses and mobility, this is not as critical immediately post-op.
B. A history of vomiting is relevant but not immediately actionable for the current post-op care.
C. Dry mouth is a common and manageable symptom post-op, but not immediately critical.
D. A soft abdomen, absent bowel sounds, and no bleeding on dressing provide essential information on the client's current post-op status and potential complications, making it the most important information to confirm.
Correct Answer is D
Explanation
A. Regression involves reverting to behaviors from an earlier developmental stage, which is not demonstrated in this scenario.
B. Suppression is the conscious decision to delay paying attention to a thought or feeling, which is not evident here.
C. Compensation involves making up for a perceived deficiency by emphasizing another trait or skill, which does not apply to this situation.
D. Sublimation is the process of channeling unacceptable impulses into socially acceptable activities. By vigorously working on the leather belt, the client is redirecting potentially aggressive energy into a constructive and creative outlet.
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