Nokea
Which of the following topics will the nurse include in patient teaching following outpatient cataract surgery and lens implantation?
- A. Use of oral opioids for pain control
- B. Administration of antibiotic eye drops
- C. Importance of coughing and deep-breathing exercises
- D. Need for bed rest for the first 24 hours after the surgery
Correct Answer: B
Rationale: Antibiotic and corticosteroid eye drops are commonly prescribed after cataract surgery, and the patient should be able to administer them using safe technique. Pain is not expected after cataract surgery and opioids will not be needed. Coughing and deep-breathing exercises are not needed since a general anaesthetic agent is not used. There is no bed rest restriction after cataract surgery.
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The charge nurse observes a newly hired nurse caring for a patient who has just arrived in the postanesthesia care unit after having right cataract removal and an intraocular lens implant. Which of the following interventions requires that the charge nurse intervene?
- A. The nurse leaves the eye shield in place.
- B. The nurse encourages the patient to cough.
- C. The nurse elevates the patient's head to 45 degrees.
- D. The nurse applies corticosteroid drops to the right eye.
Correct Answer: B
Rationale: Because coughing will increase intraocular pressure, patients are generally taught to avoid coughing during the acute postoperative time. The other actions are appropriate for a patient after having this surgery.
The nurse is caring for a patient with an acute attack of Méni?¨re's disease. Which of the following actions carried out by a family member that is visiting the patient should the nurse intervene?
- A. Raises the side rails on the bed
- B. Turns on the patient's television
- C. Turns the patient to the right side
- D. Places an emesis basin at the bedside
Correct Answer: B
Rationale: Watching television may exacerbate the symptoms of an acute attack of Méni?¨re's disease. The other actions are appropriate.
Which of the following interventions should the nurse implement for a patient who has just been diagnosed with viral conjunctivitis?
- A. Explain the purpose of antiviral eye drops.
- B. Show how to perform eye irrigation safely.
- C. Instruct about how to insert soft contact lenses.
- D. Demonstrate appropriate handwashing technique.
Correct Answer: D
Rationale: Good hand hygiene is the major means to prevent the spread of conjunctivitis. Antiviral drops and eye irrigation will not be helpful in shortening the disease process. Contact lenses should not be used when patients have conjunctivitis because they can further irritate the conjunctiva.
The nurse is caring for a patient with a left retinal detachment who had a pneumatic retinopexy procedure. Which of the following information should be included in the discharge teaching plan?
- A. The use of bilateral eye patches to reduce movement of the operative eye
- B. The need to wear dark or tinted glasses
- C. The procedure for sterile dressing changes
- D. The purpose of maintaining the head in a prescribed position for several weeks
Correct Answer: D
Rationale: Following pneumatic retinopexy, maintaining the head in a prescribed position is critical to keep the gas bubble in contact with the retinal tear, promoting reattachment. Bilateral eye patches are not typically used, dark glasses may be recommended for comfort but are not the focus, and sterile dressing changes are not standard for this procedure.
The nurse is assessing a patient who has recently been treated with amoxicillin for acute otitis media of the right ear. Which of the following assessment data obtained by the nurse is of most concern?
- A. The patient has a temperature of 38.1°C (100.6°F).
- B. The patient reports mild ear pain.
- C. The patient has slight redness in the ear canal.
- D. The patient reports decreased hearing in the right ear.
Correct Answer: A
Rationale: A temperature of 38.1°C (100.6°F) after treatment for acute otitis media may indicate a persistent or worsening infection, requiring immediate attention. Mild ear pain, slight redness, and decreased hearing may be residual symptoms but are less concerning unless persistent or severe.