The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?
Decrease fluid intake to control the intraocular pressure.
Decrease the amount of salt in the diet.
Eye medications will need to be administered for life.
Avoid overuse of the eyes.
The Correct Answer is C
a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Position the client on the affected side to rest: This is incorrect. The client should avoid sleeping on the operated side to prevent pressure on the eye and reduce the risk of complications.
b) The client should wear dark glasses while outdoors: Dark glasses should be worn outdoors to protect the eye from bright light and reduce discomfort after cataract surgery.
c) The client should remain in bed for 3 days: This is unnecessary. The client should avoid strenuous activity but does not need to remain bedridden for 3 days.
d) Feed the client soft foods for several days: This is not necessary for cataract surgery recovery. There are no dietary restrictions related to the surgery.
Correct Answer is C
Explanation
a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.
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