A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open- angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions?

I will take a stool softener to prevent constipation

I will ask to work the night shift, so I will not be driving in bright sunlight

I will need to use my eye drops for 1 year

I will need to follow a low-protein diet

Answer and Explanation

The Correct Answer is A

a ."I will take a stool softener to prevent constipation."

Explanation:

The statement that indicates an understanding of the instructions is "I will take a stool softener to prevent constipation."

Explanation for the other options:

b. "I will ask to work the night shift, so I will not be driving in bright sunlight."

This statement is incorrect. The need to work the night shift to avoid bright sunlight does not relate to the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma. The primary focus of discharge teaching for this condition would be related to eye care, medication administration, and follow-up appointments.

c. "I will need to use my eye drops for 1 year."

This statement is incorrect. While eye drops are commonly prescribed for open-angle glaucoma, the duration of their use can vary based on the individual's condition and the healthcare provider's instructions. The client should follow the specific instructions given by their healthcare provider regarding the frequency and duration of eye drop use.

d. "I will need to follow a low-protein diet."

This statement is incorrect. A low-protein diet is not typically part of the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma. The focus of dietary recommendations for open-angle glaucoma is on maintaining a healthy diet and managing other health conditions that may aﬀect intraocular pressure, such as high blood pressure or diabetes.

In summary, the statement that demonstrates an understanding of the discharge instructions for a client postoperative following laser surgery for open-angle glaucoma is "I will take a stool softener to prevent constipation." This indicates the client's awareness of the importance of preventing constipation, which can be a side eﬀect of some medications prescribed after surgery.

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Correct Answer is D

Explanation

The priority data for the nurse to collect following an amniotomy is the fetal heart rate. This is an important nursing intervention to assess fetal well-being and identify any potential complications.

a) Assessing the color of the amniotic ﬂuid is important, but it is not the highest priority.

b) Monitoring the client's temperature is important, but it is not the highest priority.

c) Assessing the frequency of contractions is important, but it is not the highest priority.

A. Collect 2 mL of sputum in an emesis basin B. Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection. C. Swab the oropharynx with a sterile swab D. Refrigerate the specimen until the time of transport to the laboratory

Correct Answer is D

Explanation

Answer: D

Rationale:

A) Collect 2 mL of sputum in an emesis basin: Collecting sputum in an emesis basin is inappropriate for laboratory testing. The sputum should be collected directly into a sterile container to prevent contamination. This ensures that the culture and sensitivity results are accurate and reflect the client's true respiratory pathogens.

B) Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection: Using an antiseptic mouthwash before collecting a sputum sample is not recommended because it may alter the flora present in the sputum, leading to inaccurate culture results. Instead, the client should rinse their mouth with plain water to clear excess saliva or food debris.

C) Swab the oropharynx with a sterile swab: Swabbing the oropharynx does not obtain sputum from the lungs but instead gathers a sample from the throat, which may not be reflective of lower respiratory infections. A proper sputum sample is produced through a deep cough to collect material directly from the lungs.

D) Refrigerate the specimen until the time of transport to the laboratory: Refrigerating the sputum specimen helps to preserve its integrity by preventing the overgrowth of bacteria or other pathogens until it can be transported to the laboratory. Proper refrigeration ensures that the culture and sensitivity results remain accurate.

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A nurse is reinforcing discharge teaching with a client who is postoperative following laser surgery for open- angle glaucoma. Which of the following statements by the client indicates an understanding of the instructions?

Nursing Test Bank

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