To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

Deep breathing.

Ambulation.

Coughing.

Lying supine.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Childhood memory recall reflects cognitive functioning but is unrelated to the patient's rehabilitation involvement, which focuses on regaining lost functional capacities following injury. Such a goal lacks immediate functional relevance.

Choice B rationale

Returning to work as a corporate attorney may be an eventual aim but depends on higher cognitive recovery levels and is too specific. Early rehabilitation outcomes focus on participation in the recovery process.

Choice C rationale

Active participation indicates readiness and willingness to engage in therapies essential for regaining lost functions. It aligns with goals for a transition from acute care to rehabilitation emphasizing functional improvement.

Choice D rationale

Motor coordination improvements require therapy timelines extending beyond two weeks. Such a rigid short-term goal undermines individualized rehabilitation focusing on measurable progress over more realistic durations.

Correct Answer is ["2525"]

Explanation

Step 1 is calculate intake from lactated Ringer’s: 150 mL/hr × 9 hrs = 1350 mL.

Step 2 is calculate cefazolin intake: 100 mL × 1 dose = 100 mL.

Step 3 is calculate intake from two units of packed RBCs: 275 mL + 250 mL = 525 mL.

Step 4 is calculate intake from two IV boluses: 250 mL × 2 = 500 mL.

Step 5 is calculate intake from ranitidine infusion: 50 mL × 1 dose = 50 mL.

Step 6 is calculate total intake: 1350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2525 mL. Final calculated intake is 2525 mL.

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To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who had a serious head injury.The patient has recovered enough to be transferred to a rehabilitation facility.Which of the following rehabilitation goals would be most appropriate for the patient?

Correct Answer is C

Explanation

Correct Answer is ["2525"]

Explanation

The nurse is caring for a patient with an acute head injury.Which assessment finding would first alert the nurse that the patient is developing an increase in intracranial pressure (ICP)?

A nurse is caring for a client who has heart failure and a prescription for digoxin 225 mcg PO daily. Available is digoxin PO 0.50 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A client has a past medical history of coronary artery disease and emphysema.The nurse knows which agent is safest to give?

The nurse is caring for a patient diagnosed with a brain injury to the cerebellum.Which nursing intervention is priority?

The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range for a patient with an acute head injury.Which actions should the nurse take to achieve this goal? (Select All that Apply.)

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A 78-year-old client is admitted to the Emergency Department with numbness and weakness of the right arm and slurred speech.Which nursing intervention is a priority?

A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?