The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?

Avoiding straining during bowel movement or bending at the waist.

Keep rooms brightly lit

Lie on your abdomen when in bed.

Avoid lifting objects weighing more than 15 lbs.

Answer and Explanation

Correct Answer : A,D

A.   Patients are often advised to avoid straining during bowel movements and bending at the waist to reduce intraocular pressure and the risk of complications after cataract surgery. This is crucial for promoting healing and preventing dislodgement of the lens.
B.   While good lighting can be important for safety and visibility, patients are often advised to avoid excessively bright lights or glare, especially after surgery, as it can be uncomfortable and may not be beneficial during the recovery period. Patients may need to use softer lighting to avoid discomfort.
C.   After cataract surgery, patients are typically advised to lie on their back or the non-operative side to avoid pressure on the eye that underwent surgery. Lying on the abdomen is not recommended and could pose a risk to the surgical site.
D.   Patients are often instructed to avoid heavy lifting for a period after surgery to prevent increased intraocular pressure and potential complications. Lifting more than 15 lbs is generally discouraged during the initial recovery phase.

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Correct Answer is D

Explanation

A. While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B. A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C. While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D. Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.

A. Assess breathing pattern for snoring. B. Assess mucous membranes for moisture. C. Assess pain level. D. Observe for continuous swallowing.

Correct Answer is D

Explanation

A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.

B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.

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The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer is D

Explanation

When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?

Correct Answer is D

Explanation

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