The nurse is caring for a client who is ready to be discharged home after a cataract extraction with intraocular lens implant. The nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately. Which symptom is the priority for the nurse to teach the client?
"You need to call the doctor if you have eye discharge in the morning."
"You need to call the doctor if you get a scratchy feeling in your eye."
"You need to call the doctor if you get nauseated."
"You need to call the doctor if you see flashing lights."
The Correct Answer is D
A. Mild discharge can occur postoperatively and is not unusual.
B. A scratchy feeling is common due to sutures or healing and usually resolves.
C. Nausea may occur from anesthesia or eye drops but is not a direct eye emergency.
D. Flashing lights, floaters, or a curtain-like shadow can indicate retinal detachment, which is a medical emergency that requires immediate intervention to prevent vision loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Completing the full course of antibiotics is the priority to eradicate infection and prevent recurrence, sepsis, or worsening renal impairment.
B. Frequent baths actually increase the risk of urinary tract infection (UTI).
C. Adequate fluids are encouraged, but 4 liters/day is excessive and could worsen renal impairment in a client with elevated creatinine.
D. Wiping back to front increases infection risk; the correct teaching is front to back.
Correct Answer is A
Explanation
A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.
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