The client is being discharged from the ambulatory care unit following cataract removal.
The nurse provides instructions regarding home care.
Which of the following, if stated by the client, indicates an understanding of the instructions?
I will sleep on the operative side for two weeks.
I will not lift anything more than 30 pounds (13.6 kg).
I will wear an eye shield at night and glasses during the day.
I will avoid using eye drops for the first week.
The Correct Answer is C
Choice A rationale
Sleeping on the operative side increases pressure on the eye, risking complications like increased intraocular pressure and disrupted healing of surgical incisions. Postoperative care avoids this positioning.
Choice B rationale
Lifting items over 5-10 pounds risks increased intraocular pressure. Guidelines usually limit lifting to light objects, not 30 pounds. Heavy lifting can cause strain affecting surgical recovery.
Choice C rationale
Eye shields protect the operative site during sleep, preventing accidental trauma, while glasses shield from debris during daytime. These preventive measures support proper healing and recovery post-cataract surgery.
Choice D rationale
Avoiding eye drops disrupts healing as prescribed medications manage inflammation and prevent infections after surgery. Proper use of eye drops supports post-surgical recovery effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Weekly appointments to change the catheter are unnecessary unless specifically indicated. Most urinary catheters are changed monthly or as needed based on physician's discretion or complications.
Choice B rationale
Sexual intimacy is possible with an indwelling urinary catheter if handled properly. Providing education on safe practices promotes normalcy and quality of life for the patient.
Choice C rationale
Wearing underwear is recommended to protect the catheter and minimize risk of contamination or accidental dislodgement. This information supports proper hygiene and comfort.
Choice D rationale
Regular emptying of the leg bag every 4 hours or more frequently prevents overfilling, which could lead to backflow and increased risk of urinary tract infections.
Choice E rationale
Foul-smelling, cloudy urine can indicate infection such as a urinary tract infection. Prompt reporting ensures early treatment and prevention of complications.
Correct Answer is C
Explanation
Choice A rationale
Soft stools and flatus indicate proper gastrointestinal function, suggesting tolerance to feeding. With no adverse symptoms, it is not scientifically valid to hold enteral feeding based on these findings alone.
Choice B rationale
Diluting medications with D5W and flushing ensures patency but does not address potential complications like abdominal distention or bowel sounds. RLQ tenderness must first be evaluated for safety.
Choice C rationale
Abdomen distention with hypoactive bowel sounds and RLQ tenderness suggests possible ileus or bowel obstruction. Discussing this condition with the prescriber ensures safe feeding practices and prevents worsening complications.
Choice D rationale
Residual formula checks are relevant for gastric, not jejunostomy, feeding. Scientific practice discourages assessing residual in jejunostomy feeding as the tube bypasses the stomach.
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