To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:
Deep breathing.
Ambulation.
Coughing.
Lying supine.
The Correct Answer is C
Choice A rationale
Deep breathing doesn't significantly affect intraocular pressure. Techniques enhancing oxygen exchange are safe and recommended for general well-being during postoperative recovery periods.
Choice B rationale
Ambulation promotes circulation and is generally safe after surgery. Avoiding ambulation is unnecessary for maintaining intraocular pressure levels unless medically contraindicated.
Choice C rationale
Coughing increases intraocular pressure due to abrupt pressure changes within the chest cavity and ocular system. This should be avoided to prevent complications after cataract surgery.
Choice D rationale
Lying supine does not inherently increase intraocular pressure unless other factors like improper postoperative positioning are involved. Proper positioning is important but lying supine itself isn't contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Speaking at increased speed may hinder comprehension in individuals with sensorineural hearing loss, as clarity diminishes with rapid verbalization.
Choice B rationale
Reducing caffeine intake is irrelevant to auditory function; caffeine influences systemic effects but does not aid hearing impairment.
Choice C rationale
Facing the individual directly ensures clear visual cues, including lip reading, critical for communication with sensorineural hearing loss.
Choice D rationale
Varying pitch disrupts consistency in auditory perception; maintaining a steady tone aids clarity for impaired auditory processing.
Correct Answer is A
Explanation
Choice A rationale
Vigorous coughing or nose blowing increases pressure in the middle ear, potentially dislodging the stapes prosthesis, interfering with healing, and increasing risk of complications like vertigo or auditory damage.
Choice B rationale
Packing with dry dressing is contraindicated because it may trap moisture and increase infection risk. If drainage occurs, sterile measures are taken to assess and manage infection without creating ideal conditions for pathogens.
Choice C rationale
Irrigation of the ear canal risks introducing pathogens or disrupting the surgical area. Post-surgery, maintaining a dry environment helps reduce infection and promote proper healing.
Choice D rationale
Though bedrest may be recommended initially, prolonged immobility isn't essential unless specific complications arise. Movement minimizes risks of clot formation and encourages circulation, aiding recovery.
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