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.

Answer and Explanation

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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Correct Answer is ["A","B","E"]

Explanation

A. Trauma to the eye can lead to retinal detachment. Understanding any history of eye injuries is crucial for assessing the likelihood of detachment.
B. Lifting heavy objects can increase intraocular pressure, which may contribute to retinal detachment, particularly in individuals with existing vulnerabilities. This question is relevant for assessing risk factors.
C. While sodium intake is important for general health, it is not directly related to the risk of retinal detachment. This question is not relevant in this context.
D. This statement is somewhat correct but less directly relevant. While protecting the eyes from UV light is important for overall eye health and can help prevent conditions that might lead to retinal issues, it is not a primary factor associated with retinal detachment.
E. Long-term use of steroids can increase the risk of retinal detachment, particularly in patients with certain conditions (like high myopia). This question is important for identifying potential risk factors.

A. Kidney disease B. Pain C. Glaucoma D. Anemia

Correct Answer is A

Explanation

A. Kidney disease is one of the most common causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention or increased renin production.
B. While pain can cause temporary increases in blood pressure due to the body's stress response, it is not an identifiable cause of secondary hypertension. Pain-related hypertension is usually acute and resolves once the pain is managed, rather than being a chronic condition.
C. Glaucoma is an eye condition characterized by increased intraocular pressure, but it is not a cause of hypertension. Although systemic hypertension can affect eye health, glaucoma itself does not cause secondary hypertension. Therefore, this is not an identifiable cause.
D. Anemia does not directly cause secondary hypertension. While severe anemia can sometimes result in compensatory mechanisms that might elevate blood pressure, it is not a recognized or direct cause of secondary hypertension. Thus, it is not a primary concern in this context.

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The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","E"]

Explanation

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Correct Answer is A

Explanation

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