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

As individuals age, there is a natural decline in kidney function. This can result in a reduced ability to filter and excrete medications and their metabolites from the body. The decreased kidney function can lead to a longer half-life of medications, increased drug accumulation, and an increased risk of adverse drug reactions. It is important for the nurse to adjust medication dosages and frequencies based on the individual's renal function to prevent drug toxicity.

Increased liver function: Aging is associated with a gradual decline in liver function. While there may be some individual variations, in general, liver function decreases rather than increases with age. However, changes in liver function can affect the metabolism and elimination of medications. Some medications may require dosage adjustments based on liver function, but it is not a common physiological change in older adults.

Increased metabolism: Aging is generally associated with a decrease in metabolism rather than an increase. The metabolic rate tends to slow down with age, which can affect the pharmacokinetics of medications. Slower metabolism can result in medications taking longer to be metabolized and cleared from the body, potentially leading to prolonged drug effects.

A. "I will sleep on a soft matress." B. "I will apply a heating pad to make my hands feel beter." C. "I will take aspirin on an empty stomach." D. "I will exercise my joints as much as I can when they are inﬂamed."

Correct Answer is B

Explanation

Applying heat to the aﬀected joints can help relieve pain and stiﬀness. A heating pad or warm compress can be used to apply heat to the hands.

The other options are not correct because:

a) Sleeping on a soft mattress is not mentioned as a way to manage osteoarthritis symptoms.

b) Aspirin should be taken with food or milk to reduce stomach irritation.

c) Exercising inﬂamed joints excessively can worsen symptoms. It is important to balance rest and activity.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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