A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?

The bright light in this room is really bothering me

It's hard to see with a patch on one eye, I'm afraid of falling

My eye really itches but I'm trying not to rub it

I need something for the pain in my eye, I can't stand it

Answer and Explanation

The Correct Answer is D

Choice A reason: Bright light sensitivity is a common side effect following cataract surgery and can be managed with appropriate measures such as wearing sunglasses. It does not necessarily indicate a complication requiring immediate reporting.

Choice B reason: Difficulty seeing with a patch on one eye and fear of falling are valid concerns, but they do not necessarily indicate an immediate complication that requires urgent reporting to the healthcare provider.

Choice C reason: Eye itching is common after cataract surgery, and the client should be advised not to rub the eye to prevent infection or damage. This comment does not indicate a severe complication that needs immediate reporting.

Choice D reason: Severe eye pain that the client cannot stand is a potential sign of a serious complication, such as increased intraocular pressure, infection, or other postoperative issues. This requires immediate attention from the healthcare provider to prevent further complications and ensure the client's safety.

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Correct Answer is A

Explanation

Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.

Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.

Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.

Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.

A. A sore that appears to be healed B. A mole that has changed in shape and size C. Purulent drainage is coming out of the moles D. Intense pruritus is noted during assessment of the moles

Correct Answer is B

Explanation

Choice A reason: A sore that appears to be healed is not a common indicator of malignancy. It is usually associated with infections or other skin conditions.

Choice B reason: Changes in a mole's shape and size are classic warning signs of melanoma, a type of skin cancer. Moles that become asymmetrical, have irregular borders, vary in color, grow in diameter, or evolve over time need to be evaluated by a healthcare provider.

Choice C reason: Purulent drainage from a mole could indicate an infection, but it is not a typical sign of malignancy.

Choice D reason: Intense pruritus (itching) can be associated with skin conditions, but it is not a definitive indicator of malignancy. While itching can occasionally be a symptom of skin cancer, it is not as specific as changes in mole appearance.

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A nurse is caring for a client following cataract surgery. Which comment from the client should the nurse report to the client's health care provider IMMEDIATELY?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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