The client is being discharged from the ambulatory care unit following cataract removal.
The nurse provides instructions regarding home care.
Which of the following, if stated by the client, indicates an understanding of the instructions?
I will sleep on the operative side for two weeks.
I will not lift anything more than 30 pounds (13.6 kg).
I will wear an eye shield at night and glasses during the day.
I will avoid using eye drops for the first week.
The Correct Answer is C
Choice A rationale
Sleeping on the operative side increases pressure on the eye, risking complications like increased intraocular pressure and disrupted healing of surgical incisions. Postoperative care avoids this positioning.
Choice B rationale
Lifting items over 5-10 pounds risks increased intraocular pressure. Guidelines usually limit lifting to light objects, not 30 pounds. Heavy lifting can cause strain affecting surgical recovery.
Choice C rationale
Eye shields protect the operative site during sleep, preventing accidental trauma, while glasses shield from debris during daytime. These preventive measures support proper healing and recovery post-cataract surgery.
Choice D rationale
Avoiding eye drops disrupts healing as prescribed medications manage inflammation and prevent infections after surgery. Proper use of eye drops supports post-surgical recovery effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Vigorous coughing or nose blowing increases pressure in the middle ear, potentially dislodging the stapes prosthesis, interfering with healing, and increasing risk of complications like vertigo or auditory damage.
Choice B rationale
Packing with dry dressing is contraindicated because it may trap moisture and increase infection risk. If drainage occurs, sterile measures are taken to assess and manage infection without creating ideal conditions for pathogens.
Choice C rationale
Irrigation of the ear canal risks introducing pathogens or disrupting the surgical area. Post-surgery, maintaining a dry environment helps reduce infection and promote proper healing.
Choice D rationale
Though bedrest may be recommended initially, prolonged immobility isn't essential unless specific complications arise. Movement minimizes risks of clot formation and encourages circulation, aiding recovery.
Correct Answer is B
Explanation
Choice A rationale
The frontal lobe controls executive functions like reasoning and planning, not object identification errors. Damage here leads to issues with decision-making and voluntary movement, not misidentification of objects.
Choice B rationale
The temporal lobe processes auditory information and object recognition. Injury disrupts the brain's ability to associate visual stimuli with correct labels, causing errors like calling a pen "a key.”.
Choice C rationale
The parietal lobe processes sensory information related to touch, pain, and spatial awareness. Damage causes difficulty with spatial relations and perception but doesn't typically involve visual misidentification.
Choice D rationale
The occipital lobe handles visual processing. Damage affects vision or visual interpretation but does not impair the recognition or labeling of objects directly.
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