The nurse is preparing an older adult client for discharge following cataract extraction. Which instruction should be included in the discharge teaching?
Avoid straining at stool, bending, or lifting heavy objects.
Irrigate conjunctiva with ophthalmic saline prior to instilling antibiotic ointment.
Do not read without direct lighting for 6 weeks.
Limit exposure to sunlight during the first 2 weeks when the cornea is healing.
The Correct Answer is A
A. Avoid straining at stool, bending, or lifting heavy objects: These activities can increase intraocular pressure and disrupt healing of the surgical site after cataract extraction. The client should be taught to avoid anything that could strain the eye and risk complications like hemorrhage or wound dehiscence.
B. Irrigate conjunctiva with ophthalmic saline prior to instilling antibiotic ointment:
Routine irrigation is not required and may introduce additional risk. Clients are instructed on proper hand hygiene and drop instillation rather than conjunctival irrigation.
C. Do not read without direct lighting for 6 weeks: While good lighting helps reduce eye strain, reading in lower light does not delay healing after cataract surgery. This instruction is unnecessary and could limit the client’s ability to resume normal activities.
D. Limit exposure to sunlight during the first 2 weeks when the cornea is healing: Although bright light can be uncomfortable post-surgery, wearing sunglasses typically offers sufficient protection. There is no requirement to restrict sunlight exposure completely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Emphasize that using safe sex practices removes the risk of STIs: While safe sex practices significantly reduce the risk of STIs, they do not eliminate the risk entirely. It is important to provide accurate, non-judgmental information about risk reduction rather than implying complete protection.
B. Remain non-judgmental and assure the client of confidentiality: The nurse should provide a safe, supportive environment to encourage open communication, while assuring the client that their information will remain confidential. This promotes trust and encourages the client to seek necessary care.
C. Clarify that all STIs are transmitted through sexual intercourse: While many STIs are transmitted through sexual contact, some can also be transmitted through other routes, such as blood or vertical transmission.
D. Inform that follow-up may end after the treatment is finished: Follow-up care ensures the effectiveness of treatment and monitoring for potential complications. Informing the client that follow-up may end prematurely could discourage the client from seeking necessary care.
Correct Answer is D
Explanation
A. If I experience any difficulty with breathing I will report it: Difficulty breathing is a serious side effect of itraconazole, which can cause respiratory issues such as shortness of breath. The client should report this immediately, making this statement appropriate.
B. Drinking grapefruit juice will increase the effects of the medication: Grapefruit juice increases the effects of many medications, including itraconazole, by inhibiting the enzyme responsible for metabolizing the drug.
C. Monitoring for changes in stool color is important: Itraconazole can cause liver toxicity, and monitoring stool color is important as it can indicate liver issues, such as jaundice. The client’s awareness of this potential side effect is appropriate.
D. I should take the medication with antacids: This statement requires correction because antacids can reduce the absorption of itraconazole. The medication should be taken with an acidic drink like cola, not with antacids, to ensure proper absorption.
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