A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching?
Avoid bending at the waist.
Seeing flashes of light is an expected finding following extraction.
Remove the eye shield at bedtime.
Limit the use of laxatives if constipated.
The Correct Answer is A
a) Avoid bending at the waist: Avoiding bending at the waist reduces the risk of increasing intraocular pressure, which could interfere with healing after cataract extraction.
b) Seeing flashes of light is an expected finding following extraction: Seeing flashes of light can be a sign of retinal detachment, which should be reported to a provider immediately.
c) Remove the eye shield at bedtime: The eye shield should be worn while sleeping to protect the eye, typically for several weeks after surgery.
d) Limit the use of laxatives if constipated: This is generally not a concern in cataract surgery aftercare. Stool softeners may be recommended instead to prevent straining.
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Related Questions
Correct Answer is B
Explanation
a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.
Correct Answer is B
Explanation
a) Beta-adrenergic agent: These medications are used to reduce intraocular pressure in glaucoma, not for pupil dilation.
b) Adrenergic agent: Adrenergic agents, such as phenylephrine, are used to dilate the pupils (mydriasis) for eye examinations.
c) Osmotics: Osmotic agents, like mannitol, are used to reduce intraocular pressure in conditions like glaucoma, but they do not dilate the pupils.
d) Corticosteroid: Corticosteroids are used to reduce inflammation in the eye but do not dilate the pupils.
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