A patient is being discharged after cataract surgery. Discharge instructions should include which of the following statements? (Select all that apply.)
"Moderate to severe pain is expected."
"Resume usual activities immediately."
"Always lie on the unaffected side."
"Expect a small amount of bleeding."
"Avoid pressure on the operative eye."
Correct Answer : D,E
a) "Moderate to severe pain is expected." Mild discomfort or a sensation of something in the eye is common after cataract surgery, but moderate to severe pain is not expected. Significant pain may indicate complications such as infection or increased intraocular pressure.
b) "Resume usual activities immediately." The patient should avoid strenuous activities, bending, lifting, and sudden movements that could increase intraocular pressure or cause trauma to the eye.
c) "Always lie on the unaffected side." The patient should avoid sleeping on the operative side to prevent pressure on the eye. Lying on the unaffected side is encouraged, but the primary goal is to avoid pressure on the operated eye.
d) "Expect a small amount of bleeding." A small amount of bleeding or clear drainage may occur in the early postoperative period, which is typically not concerning unless it becomes excessive or persistent.
e) "Avoid pressure on the operative eye." Avoiding pressure on the operative eye is essential to prevent complications such as dislodging the lens or increasing intraocular pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
a) Gradual hearing loss: Meniere's disease is characterized by progressive hearing loss due to fluid buildup in the inner ear, which affects hearing.
b) Retracted eardrum: This is typically seen in conditions like otitis media, not Meniere's disease, which involves the inner ear.
c) Bilateral ear pain: Meniere's disease usually causes vertigo and hearing loss rather than pain, and it often affects one ear more than both.
d) Impacted cerumen: Impacted cerumen is not associated with Meniere's disease. It is a separate issue related to earwax buildup.
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