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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Soft restraints are utilized for agitation but are not prioritized in epilepsy care. Emergency equipment like suction ensures airway safety during seizures.

Choice B rationale

Glasgow Coma Scale evaluates neurological function but is less relevant for epilepsy management compared to essential tools like suction equipment for airway protection.

Choice C rationale

Suction equipment and oxygen are vital in epilepsy management to clear secretions and maintain oxygenation during seizures. Patent IV access allows rapid administration of emergency medications.

Choice D rationale

Dextrose infusion is used to treat hypoglycemia rather than seizures. Epilepsy care prioritizes tools like suction and oxygen for immediate seizure-related complications. .

A. Obtain a blood specimen to check for serum drug levels. B. Administer lorazepam IV to stop the convulsive activity. C. Check the client's blood pressure and heart rate.

Correct Answer is B

Explanation

Choice A rationale

Checking serum drug levels provides insight into compliance and effectiveness but doesn’t address immediate seizure cessation, prioritizing treatment over diagnostic assessment.

Choice B rationale

Administering lorazepam IV halts seizure activity quickly by enhancing GABA activity, calming neuronal excitation, and stabilizing the patient’s condition, reducing potential complications.

Choice C rationale

Monitoring vitals like blood pressure and heart rate is essential but doesn’t directly address convulsive activity, which requires immediate pharmacological intervention to prevent status epilepticus progression. .

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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?

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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?