A nurse at an outpatient surgery center is providing discharge instructions to a patient and their spouse following the surgical removal of a cataract.
What should the nurse include in these instructions?

Take ibuprofen for eye discomfort.

Wear dark glasses while outdoors.

Notify the provider immediately if the operative eye itches.

Creamy white drainage is an indication of infection.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Taking ibuprofen for eye discomfort after cataract surgery is not typically recommended. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, which can be problematic after eye surgery.
Choice B rationale

Wearing dark glasses while outdoors is often recommended after cataract surgery. This is because the eyes can be sensitive to light after the procedure. Dark glasses can help to protect the eyes from bright light and reduce discomfort.
Choice C rationale
Itching in the operative eye is not typically a sign of a serious problem after cataract surgery. Some itching can be normal as the eye heals. However, severe pain, vision loss, or heavy discharge should be reported to the provider immediately.
Choice D rationale
Creamy white drainage is not an indication of infection. In fact, it could be a sign of a more serious problem, such as an eye infection. Any changes in vision, pain, redness, or discharge should be reported to the healthcare provider.

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Correct Answer is A

Explanation

Choice A rationale
Diabetes mellitus is a risk factor for urinary tract infections (UTIs). High blood sugar levels can impair the immune system, making it harder for the body to fight off infections. Additionally, diabetes can cause nerve damage that affects the bladder’s ability to empty completely, allowing bacteria to grow.
Choice B rationale
Anemia itself is not a direct risk factor for UTIs. Anemia is a condition characterized by a lack of healthy red blood cells or hemoglobin, which does not contribute to the development of UTIs.
Choice C rationale
Chronic Obstructive Pulmonary Disease (COPD) primarily affects the lungs and does not increase the risk of UTIs. COPD can make it harder to breathe, but it does not have a direct impact on the urinary system.

Choice D rationale
Osteoporosis is a condition that weakens bones, making them fragile and more likely to break. It does not increase the risk of UTIs. Osteoporosis and UTIs are not directly related as they affect different systems within the body.

A. Consumed 35% of meals for 12 hr. B. Been on bedrest for 3 days. C. Last bowel movement 2 days ago. D. Reports pain as 5 on a scale of 0 to 10.

Correct Answer is D

Explanation

Choice A rationale
While nutrition is important for recovery, consuming 35% of meals for 12 hours is not an immediate concern. The patient’s nutritional status can be addressed after more urgent issues are resolved.

Choice B rationale
Bedrest for 3 days post-surgery is not uncommon. While prolonged bedrest can lead to complications such as deep vein thrombosis, it is not the most immediate concern in this scenario.
Choice C rationale
A last bowel movement 2 days ago is not necessarily a concern unless the patient is experiencing discomfort or other symptoms of constipation. This can be addressed after more urgent issues are resolved.
Choice D rationale
This is the correct answer. Pain in the lower extremities following surgery could indicate a serious condition such as a blood clot. It is important to address this first to rule out any serious complications.

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A nurse at an outpatient surgery center is providing discharge instructions to a patient and their spouse following the surgical removal of a cataract. What should the nurse include in these instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a patient who has a urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor?

Correct Answer is A

Explanation

A nurse is caring for a patient who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

Correct Answer is D

Explanation

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A nurse at an outpatient surgery center is providing discharge instructions to a patient and their spouse following the surgical removal of a cataract.
What should the nurse include in these instructions?