A nurse is caring for a client following cataract surgery.
Which of the following comments from the client should the nurse report to the client’s provider?

“My eye really itches, but I’m trying not to rub it.”.

“The bright light in this room is really bothering me.”.

“I’m afraid of falling.”.

“I need something for the pain in my eye. I can’t stand it.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Itching is a common symptom after cataract surgery, and the client should be reminded not to rub or place pressure on the eyes. This comment does not indicate a serious complication.

Choice B rationale

Sensitivity to bright light is also common after cataract surgery. The client can be advised to wear sunglasses to reduce discomfort. This comment does not indicate a serious complication.

Choice C rationale

Fear of falling is a valid concern, especially if the client has impaired vision or depth perception due to the eye patch. However, this comment does not indicate a serious complication that needs immediate reporting.

Choice D rationale

Severe pain in the eye after cataract surgery can indicate a complication such as increased intraocular pressure, infection, or hemorrhage. This comment should be reported to the provider immediately for further evaluation and intervention.

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Correct Answer is D

Explanation

Choice A rationale

Inactivated poliovirus (IPV) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice B rationale

Hepatitis B (HepB) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice C rationale

Haemophilus influenzae type b (Hib) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice D rationale

Influenza, live attenuated (LAIV) vaccine contains egg protein and can cause severe allergic reactions in individuals with egg allergies. This prescription should be clarified to ensure the safety of the child.

A. Allow the client to ambulate. B. Remove the eye patch during the day. C. Encourage coughing and deep-breathing. D. Avoid reading and writing.

Correct Answer is D

Explanation

Choice A rationale

Allowing the client to ambulate one day after a detached retinal repair is not recommended. Ambulation can increase intraocular pressure and disrupt the healing process of the retina. The client should be advised to limit physical activity to prevent any strain on the eye.

Choice B rationale

Removing the eye patch during the day is not advisable as it can expose the eye to potential injury or infection. The eye patch helps protect the eye and maintain the correct position for healing. It should be worn as directed by the healthcare provider.

Choice C rationale

Encouraging coughing and deep-breathing exercises is not appropriate for a client who has undergone retinal repair. These activities can increase intraocular pressure and risk detachment of the retina. The client should avoid activities that cause strain or pressure on the eyes.

Choice D rationale

Avoiding reading and writing is crucial for a client one day postoperative following a detached retinal repair. These activities can cause rapid eye movements and strain, which can interfere with the healing process and reattachment of the retina. The client should be advised to rest their eyes and avoid any activities that require intense focus or eye movement.

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A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?

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A nurse is caring for a client following cataract surgery.
Which of the following comments from the client should the nurse report to the client’s provider?