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 A

Explanation

Choice A reason: The correct answer is a because hyperkalemia, or high serum potassium levels, often leads to peaked T waves on an ECG. A reduction of T wave amplitude indicates that potassium levels are decreasing and the medication is effective.

Choice B reason: P wave duration is not typically affected by hyperkalemia. Changes in the P wave are more commonly associated with atrial abnormalities, not electrolyte imbalances.

Choice C reason: Widening of the QRS complex is a sign of severe hyperkalemia and indicates worsening of the condition. The goal of treatment is to prevent such changes, not to observe them as an indication of effectiveness.

Choice D reason: Restoration of QRS complex amplitude is not a specific indicator of hyperkalemia or its treatment. The focus should be on changes in the T wave and other signs of electrolyte normalization.

A. "You are free to move around your room as you wish, but you should avoid the hallways." B. "You are on strict bed rest and must not be up." C. "Please call for assistance when you wish to get out of bed." D. "Why would we not allow you to walk if you wanted?"

Correct Answer is C

Explanation

Choice A reason: Allowing the client to move around the room unsupervised can lead to falls, as Ménière’s disease can cause sudden episodes of vertigo and imbalance.

Choice B reason: Strict bed rest is usually not required for clients with Ménière’s disease. Encouraging mobility with assistance is typically more appropriate.

Choice C reason: Asking the client to call for assistance helps prevent falls and ensures the client's safety. Ménière’s disease often causes vertigo, and assistance is necessary to prevent injuries.

Choice D reason: This response does not address the client's safety concerns and may lead to misunderstanding the risks associated with ambulation in Ménière’s disease.

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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

A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. Which of the following ECG results should indicate to the nurse that the medication has been effective?

Correct Answer is A

Explanation

A nurse is caring for a client who has Ménière’s disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?

Correct Answer is C

Explanation

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