To decrease intraocular pressure following cataract surgery, the nurse should instruct the client to avoid:
Deep breathing.
Ambulation.
Coughing.
Lying supine.
The Correct Answer is C
Choice A rationale
Deep breathing doesn't significantly affect intraocular pressure. Techniques enhancing oxygen exchange are safe and recommended for general well-being during postoperative recovery periods.
Choice B rationale
Ambulation promotes circulation and is generally safe after surgery. Avoiding ambulation is unnecessary for maintaining intraocular pressure levels unless medically contraindicated.
Choice C rationale
Coughing increases intraocular pressure due to abrupt pressure changes within the chest cavity and ocular system. This should be avoided to prevent complications after cataract surgery.
Choice D rationale
Lying supine does not inherently increase intraocular pressure unless other factors like improper postoperative positioning are involved. Proper positioning is important but lying supine itself isn't contraindicated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Fluid intake does not directly impact intraocular pressure. Management of glaucoma focuses on medications like eye drops and surgical interventions rather than restricting fluid intake.
Choice B rationale
Glaucoma treatments, including eye drops, aim to manage intraocular pressure. These medications are required lifelong to prevent optic nerve damage and preserve vision.
Choice C rationale
Excess salt impacts systemic blood pressure but does not directly influence intraocular pressure. Glaucoma management targets ocular pressure, not dietary sodium reduction.
Choice D rationale
Avoiding eye overuse may reduce strain but does not address intraocular pressure. Effective glaucoma treatment relies on pharmacological or surgical measures rather than activity limitation.
Correct Answer is D
Explanation
Choice A rationale
Absence of short-term memory loss may be desirable but depends on the injury's severity and therapy progression. Memory recovery is inconsistent and often impractical as a definitive short-term outcome goal.
Choice B rationale
Resuming construction work is unrealistic within three weeks considering potential cognitive and physical impairments. This task exceeds achievable rehabilitation milestones, emphasizing safety over rapid return to demanding roles.
Choice C rationale
Pre-injury personality traits may not fully return, as emotional and personality changes often result from cerebral insults. Emotional stability is feasible but pre-injury personality restoration is speculative.
Choice D rationale
Medication adherence reflects successful cognitive rehabilitation, supporting long-term health stability by preventing further complications. This outcome is realistic and appropriate for patients recovering from intracranial injuries. .
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