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 D

Explanation

Choice A rationale

While a 25-year-old planning to lose 20 pounds after childbirth may have increased nutritional needs, they would not typically be considered at higher risk for malnutrition unless there were other factors such as inadequate diet or certain health conditions.
Choice B rationale
A 65-year-old who recently underwent hernia surgery might have temporary changes in diet or appetite related to the surgery, but would not typically be at high risk for malnutrition unless there were other ongoing issues such as poor diet, difficulty eating, or a chronic health condition.
Choice C rationale
A 70-year-old who has been fasting since midnight in preparation for a colonoscopy would not typically be at risk for malnutrition from this short-term fast. However, if they had ongoing issues with diet, appetite, or a chronic health condition, they could potentially be at risk.
Choice D rationale
A 55-year-old who has been consuming alcohol for 35 years is at higher risk for malnutrition. Alcohol can interfere with the body’s ability to absorb and use nutrients, and individuals with long-term heavy alcohol use may also have other lifestyle factors that increase their risk for malnutrition.

A. Situation. B. Recommendation. C. Assessment. D. Background.

Correct Answer is D

Explanation

Choice A rationale
The situation component of the SBAR tool typically involves a brief description of the current problem or concern. Stating that a bowel resection was performed does not describe a current problem or concern.
Choice B rationale
The recommendation component of the SBAR tool involves suggesting a course of action or asking for assistance. Stating that a bowel resection was performed does not suggest a course of action or ask for assistance.
Choice C rationale
The assessment component of the SBAR tool involves sharing your analysis or opinion about the situation. Stating that a bowel resection was performed does not share an analysis or opinion.
Choice D rationale
This is the correct answer. The background component of the SBAR tool involves providing context or background information relevant to the situation. Stating that a bowel resection was

performed provides relevant background information about the patient’s recent medical history. DysphagiaDysphagia Explore

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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

Which of the following patients should the nurse consider as having a higher risk for malnutrition?

Correct Answer is D

Explanation

A nurse is transferring a patient to the surgical unit postoperatively. During the handoff report, the nurse states that “Dr. Jones performed a bowel resection.”. Which section of the SBAR Communication tool does this statement address?

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?