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.
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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Related Questions
Correct Answer is D
Explanation
A. While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B. This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C. This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D. Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.
Correct Answer is C
Explanation
A. While calamine lotion can be soothing and help alleviate itching, applying a thick coat over open lesions is not advisable. It may not allow the skin to breathe and can potentially lead to further irritation or infection. Therefore, while this option has some merit, it is not the priority intervention.
B. Diphenhydramine (Benadryl) is an antihistamine that can help relieve itching. This option can be beneficial for managing pruritus and may help the child sleep better. However, while it can be useful, there are other interventions that can provide immediate comfort more effectively.
C. Applying a cool cloth to the rash is an immediate and effective way to provide comfort and relieve itching. The coolness can soothe inflamed skin and reduce the urge to scratch, which helps prevent secondary infections.
D. While giving ibuprofen or acetaminophen can help reduce fever and discomfort associated with varicella, it does not specifically address pruritus. These medications are helpful for pain management but are not the best choice for alleviating itching directly.
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