Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Observe pupil response of the right eye.

Turn, cough, and deep breathe every 2 hours.

Sleep flat in a supine position.

Administer a stool softener.

Answer and Explanation

The Correct Answer is D

D A stool softener can help prevent straining during bowel movements, which could increase intraocular pressure and potentially harm the surgical site. Additionally, the nurse should advise the client to avoid activities that could increase pressure in the eye, such as bending at the waist, lifting heavy objects, or engaging in strenuous activities for a certain period post-surgery.

A Monitoring for changes in pupillary sizes is not specific to this type of surgery.

B Turn, cough, and deep breathe every 2 hours: This instruction is more relevant for clients who have undergone surgery or are at risk of developing respiratory complications, such as pneumonia. It is not specifically related to cataract extraction with a lens implant.

C Clients are usually advised to sleep with the head elevated or to avoid lying on the operative side to minimize the risk of intraocular pressure changes and discomfort.

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Correct Answer is A

Explanation

Hydromorphone is an opioid analgesic that can cause constipation as a side effect by slowing down gastrointestinal motility. Prolonged use of opioids, such as hydromorphone, increases the risk of developing opioid-induced constipation (OIC), which can lead to discomfort, bowel obstruction, and other complications if left untreated.

B. Edema is not typically associated with hydromorphone use, especially when administered for a short duration.

C. Hydromorphone administration is not typically associated with significant alterations in heart rate or rhythm, especially when administered at appropriate doses.

D. hydromorphone administration is not typically associated with alterations in blood glucose levels. Therefore, assessing capillary glucose levels may not be the most relevant assessment in this scenario.

A. Counsel family members to monitor for illness symptoms for 2 weeks after last contact with patient. B. Isolate the client from other clients, family, and healthcare workers not wearing proper personal protective equipment (PPE). C. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus. D. Report the COVID-19 result to the local health department according to Center for Disease Control (CDC) guidelines.

Correct Answer is B

Explanation

B. Isolating the client is crucial to minimize exposure to individuals who are not wearing proper PPE and to reduce the risk of spreading the virus within the healthcare setting and among family members.

A. is important for informing family members about potential exposure and monitoring for symptoms, but it is not as immediate as isolating the client to prevent further transmission.

C. is also important for educating the client on preventive measures to reduce the spread of the virus, but isolating the client takes precedence in the immediate management of potential COVID-19 cases.

D. is important for public health surveillance and contact tracing efforts, but it is not as immediate as isolating the client and educating them about preventive measures.

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Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?

Correct Answer is A

Explanation

A client presents to the emergency department with muscle aches, headache, fever, and describes a recent loss of taste and smell. The nurse obtains a nasal swab for COVID-19 testing. Which action is most important for the nurse to take?

Correct Answer is B

Explanation

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