Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Observe pupil response of the right eye.

Turn, cough, and deep breathe every 2 hours.

Sleep flat in a supine position.

Administer a stool softener.

Answer and Explanation

The Correct Answer is D

D A stool softener can help prevent straining during bowel movements, which could increase intraocular pressure and potentially harm the surgical site. Additionally, the nurse should advise the client to avoid activities that could increase pressure in the eye, such as bending at the waist, lifting heavy objects, or engaging in strenuous activities for a certain period post-surgery.

A Monitoring for changes in pupillary sizes is not specific to this type of surgery.

B Turn, cough, and deep breathe every 2 hours: This instruction is more relevant for clients who have undergone surgery or are at risk of developing respiratory complications, such as pneumonia. It is not specifically related to cataract extraction with a lens implant.

C Clients are usually advised to sleep with the head elevated or to avoid lying on the operative side to minimize the risk of intraocular pressure changes and discomfort.

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Correct Answer is B

Explanation

C. In open-angle glaucoma, the goal of treatment is to achieve and maintain normal intraocular pressure (IOP) to prevent further damage to the optic nerve and preserve vision. Eye drops are typically prescribed as a long-term therapy to control IOP and prevent progression of the disease.

A. While reducing intraocular pressure (IOP) is indeed a primary goal of glaucoma treatment, the use of eye drops for glaucoma is typically long-term to maintain normal eye pressure, not just until the excess pressure is reduced.

B. Eye drops are prescribed for long-term use to maintain normal IOP and prevent further damage to the optic nerve.

C. Open-angle glaucoma is typically painless, and swelling is not a common symptom.

D. Glaucoma is not primarily associated with pain and swelling; rather, it is characterized by increased intraocular pressure and damage to the optic nerve, which can lead to vision loss if left untreated.

A. Review with the client the need to avoid foods that are rich in milk and cream. B. Reinforce the teaching by asking the client to make a list of snack foods high in dairy content. C. Remind the client that it is also important to switch to decaffeinated coffee and tea. D. Suggest that the client also plan to eat frequent small meals to reduce discomfort.

Correct Answer is A

Explanation

A. Consuming dairy products, especially those rich in milk and cream, can stimulate gastric acid secretion and exacerbate symptoms of a duodenal ulcer. Therefore, it is essential for the nurse to review with the client the importance of avoiding foods that can aggravate the ulcer and worsen symptoms.

B. While reinforcing teaching about dietary modifications is important, encouraging the client to make a list of snack foods high in dairy content would not address the issue of avoiding dairy products to protect the duodenal ulcer.

C. While switching to decaffeinated coffee and tea can be beneficial for individuals with duodenal ulcers, it does not directly address the client's misconception about using dairy products to coat and protect the ulcer.

D. Eating frequent small meals can help reduce discomfort associated with duodenal ulcers by minimizing gastric acid secretion and preventing large fluctuations in stomach volume.

However, this option does not address the client's misconception.

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Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with a lens implant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

Correct Answer is B

Explanation

Following discharge teaching, a client with a duodenal ulcer tells the nurse of plans to eat plenty of dairy products to help coat and protect the duodenal ulcer. Which is the best follow- up action by the nurse?

Correct Answer is A

Explanation

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Patient Data Exhibits According to the client's vital signs, he is experiencing dropdown and dropdown

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