The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?
Avoiding straining during bowel movement or bending at the waist.
Keep rooms brightly lit
Lie on your abdomen when in bed.
Avoid lifting objects weighing more than 15 lbs.
Correct Answer : A,D
A. Patients are often advised to avoid straining during bowel movements and bending at the waist to reduce intraocular pressure and the risk of complications after cataract surgery. This is crucial for promoting healing and preventing dislodgement of the lens.
B. While good lighting can be important for safety and visibility, patients are often advised to avoid excessively bright lights or glare, especially after surgery, as it can be uncomfortable and may not be beneficial during the recovery period. Patients may need to use softer lighting to avoid discomfort.
C. After cataract surgery, patients are typically advised to lie on their back or the non-operative side to avoid pressure on the eye that underwent surgery. Lying on the abdomen is not recommended and could pose a risk to the surgical site.
D. Patients are often instructed to avoid heavy lifting for a period after surgery to prevent increased intraocular pressure and potential complications. Lifting more than 15 lbs is generally discouraged during the initial recovery phase.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While fever and anorexia can occur with active TB, a fever of more than 104°F is uncommon. Typically, TB may cause a low-grade fever rather than such a high temperature. Anorexia is also present, but this option does not fully capture the classic symptoms of active TB.
B. These symptoms are not typical of tuberculosis. Headaches and photophobia are more associated with conditions affecting the central nervous system, such as meningitis or migraines. They do not specifically relate to active TB.
C. These symptoms are classic indicators of active tuberculosis. Fatigue and night sweats are common, and hemoptysis (coughing up blood) is a serious symptom that can occur in pulmonary TB. This combination of symptoms is a hallmark of the disease and would prompt further investigation.
D. While chest pain can occur due to lung involvement in TB, lower back pain is not a typical symptom of pulmonary TB. Chest pain might be experienced, but it is not as definitive as the other symptoms associated with active TB.
Correct Answer is A
Explanation
A. Thiazide diuretics can lead to hypokalemia (low potassium levels) as they increase potassium excretion in the urine. Therefore, increasing potassium intake is crucial to prevent hypokalemia and its associated complications, such as arrhythmias.
B. While magnesium levels can also be affected by diuretics, it's not as significant as potassium depletion.
C. Thiazide diuretics can actually increase calcium reabsorption in the kidneys, leading to potential hypercalcemia. Therefore, increasing calcium intake is not recommended.
D. Thiazide diuretics are used to reduce sodium and water retention, so increasing sodium intake would counteract their effect.
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