The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?

Choice A rationale

Use of eye drops helps manage intraocular pressure but does not improve vision over time. The goal is to prevent further vision loss.

Choice B rationale

Double vision is not a common symptom of glaucoma. Glaucoma typically affects peripheral vision first.

Choice C rationale

Glaucoma is caused by increased intraocular pressure, not inadequate production of fluid within the eye.

Choice D rationale

Without treatment, glaucoma can cause blindness. It is essential to manage the condition to prevent vision loss.

Choice A rationale

Allowing the client to ambulate one day after a detached retinal repair is not recommended. Ambulation can increase intraocular pressure and disrupt the healing process of the retina. The client should be advised to limit physical activity to prevent any strain on the eye.

Choice B rationale

Removing the eye patch during the day is not advisable as it can expose the eye to potential injury or infection. The eye patch helps protect the eye and maintain the correct position for healing. It should be worn as directed by the healthcare provider.

Choice C rationale

Encouraging coughing and deep-breathing exercises is not appropriate for a client who has undergone retinal repair. These activities can increase intraocular pressure and risk detachment of the retina. The client should avoid activities that cause strain or pressure on the eyes.

Choice D rationale

Avoiding reading and writing is crucial for a client one day postoperative following a detached retinal repair. These activities can cause rapid eye movements and strain, which can interfere with the healing process and reattachment of the retina. The client should be advised to rest their eyes and avoid any activities that require intense focus or eye movement.