After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?
Report signs of corneal rejection to the physician.
Elevate the patient's head and encourage increased fluid intake.
Reassure the patient that cloudiness is normal for several weeks after surgery.
Prepare the patient for emergency surgery.
The Correct Answer is A
a) Report signs of corneal rejection to the physician: Cloudiness may indicate graft rejection, requiring immediate medical attention.
b) Elevate the patient's head and encourage increased fluid intake: This can help reduce intraocular pressure but does not address corneal rejection.
c) Reassure the patient that cloudiness is normal for several weeks: Persistent cloudiness is not typical and warrants evaluation.
d) Prepare the patient for emergency surgery: Emergency surgery is not the first step unless complications are severe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Headache: While headaches can occur with eye strain or other eye conditions, they are not a hallmark symptom of open-angle glaucoma.
b) Loss of peripheral vision: Open-angle glaucoma is characterized by gradual loss of peripheral vision, often referred to as "tunnel vision," due to increased intraocular pressure affecting the optic nerve.
c) Discomfort in the eyes: Open-angle glaucoma typically has no early symptoms, and discomfort is not usually a prominent feature unless the disease progresses.
d) Halos around lights: Halos around lights are more commonly associated with acute angle-closure glaucoma, where there is a sudden rise in intraocular pressure, not open-angle glaucoma.
Correct Answer is ["D","E"]
Explanation
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.
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