A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?

Side lying on the affected eye.

Supine

Prone

Semi Fowler's

Answer and Explanation

The Correct Answer is D

Choice A Reason: Side lying on the affected eye is not the correct position for the client after cataract surgery, as it may increase intraocular pressure and cause bleeding or damage to the surgical site.

Choice B Reason: Supine is not the correct position for the client after cataract surgery, as it may cause fluid accumulation and swelling in the eye.

Choice C Reason: Prone is not the correct position for the client after cataract surgery, as it may cause pressure and friction on the eye.

Choice D Reason: Semi Fowler's is the correct position for the client after cataract surgery, as it helps to reduce intraocular pressure and promote drainage and healing of the eye.

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Correct Answer is C

Explanation

Choice A Reason: Assisting the RN to prepare an IV insulin infusion is not the first action that the nurse should take, as it may not be appropriate for the client's condition without knowing the blood glucose level.

Choice B Reason: Giving the client 4 oz of orange juice is not the first action that the nurse should take, as it may worsen the client's condition if the blood glucose level is high.

Choice C Reason: Checking the client's capillary blood glucose is the first action that the nurse should take, as it helps to determine if the client has hyperglycemia or hypoglycemia and guides the appropriate intervention.

Choice D Reason: Assisting the RN to administer 50% dextrose is not the first action that the nurse should take, as it may be harmful for the client if the blood glucose level is high.

A. Fatigue B. Anorexia C. Bleeding D. Fever

Correct Answer is C

Explanation

Choice A Reason: Fatigue is not the priority finding for a client who has a low platelet count, as it may indicate other conditions such as anemia, infection, or depression.

Choice B Reason: Anorexia is not the priority finding for a client who has a low platelet count, as it may indicate other conditions such as nausea, pain, or anxiety.

Choice C Reason: Bleeding is the priority finding for a client who has a low platelet count, as it indicates that the client is at risk of hemorrhage and shock due to impaired blood clotting.

Choice D Reason: Fever is not the priority finding for a client who has a low platelet count, but it may indicate an infection that requires prompt treatment.

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A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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