A nurse at an outpatient surgery center is reinforcing discharge teaching with a client’s partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching?

Feed the client soft foods for several days.

Position the client on the affected side to rest.

The client should remain in bed for 3 days.

The client should wear dark glasses while outdoors.

Answer and Explanation

The Correct Answer is D

Choice A reason: Feeding the client soft foods is not necessary after cataract surgery. Cataract surgery does not affect the client's ability to eat regular foods, and a normal diet can be resumed unless otherwise instructed by the healthcare provider.

Choice B reason: Positioning the client on the affected side is contraindicated after cataract surgery because it can increase pressure on the eye and disrupt the healing process. Clients are usually advised to avoid sleeping on the side of the operated eye to prevent complications.

Choice C reason: It is not necessary for the client to remain in bed for 3 days following cataract surgery. Clients are encouraged to resume normal activities as tolerated, but they should avoid strenuous activities and heavy lifting to prevent increased intraocular pressure.

Choice D reason: The correct answer is d because wearing dark glasses while outdoors helps protect the eyes from bright light and UV rays, which can cause discomfort and harm the healing eye after cataract surgery.

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Correct Answer is D

Explanation

Choice A reason: Placing tissue soiled with respiratory secretions in a paper bag for later disposal is not an appropriate infection control measure. Used tissues should be disposed of immediately in a proper waste receptacle to prevent the spread of tuberculosis bacteria.

Choice B reason: Sputum cultures should be provided more frequently than every 6 weeks to monitor the effectiveness of the treatment and to confirm when the client is no longer infectious. Monthly cultures are typically recommended until the patient shows no signs of active infection.

Choice C reason: Consuming alcohol in moderation while taking antituberculosis medications is not advised. Alcohol can interfere with the effectiveness of the medications and may also exacerbate potential side effects, such as liver toxicity, especially with medications like isoniazid and rifampin.

Choice D reason: The correct answer is d because wearing a mask while out or around crowds of people helps prevent the spread of tuberculosis. TB is an airborne disease, and wearing a mask reduces the risk of transmitting the infection to others.

A. A client who has uncontrolled hypertension B. A client who has chronic atrial fibrillation C. A client who has thrombocytopenia D. A client who has an arteriovenous malformation

Correct Answer is B

Explanation

Choice A reason: Uncontrolled hypertension is a significant risk factor for hemorrhagic stroke rather than ischemic embolic stroke. Hypertension can lead to the rupture of blood vessels in the brain, causing bleeding.

Choice B reason: The correct answer is b because chronic atrial fibrillation increases the risk of embolic stroke. In atrial fibrillation, the irregular heartbeat can lead to the formation of blood clots in the atria. These clots can travel to the brain and cause an ischemic stroke by blocking blood flow.

Choice C reason: Thrombocytopenia, characterized by low platelet count, primarily affects clotting and bleeding tendencies rather than directly increasing the risk of embolic stroke. It can, however, complicate the management of stroke due to bleeding risks.

Choice D reason: An arteriovenous malformation (AVM) is a tangle of abnormal blood vessels connecting arteries and veins in the brain. While AVMs can increase the risk of hemorrhagic stroke, they are not typically associated with ischemic embolic stroke.

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A nurse at an outpatient surgery center is reinforcing discharge teaching with a client’s partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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