Cataracts

Which statement made by a client to the nurse indicates an understanding of home care instructions after cataract surgery? a. I should not bend over to pick up objects from the floor b. I can sleep on whichever side I want as long as my head is raised c. I may not watch TV for 6 weeks d. I should keep the protective eye shield in place 24 hours a day

a. I should not bend over to pick up objects from the floor

A nurse is assessing a client following cataract surgery. The client reports nausea and severe eye pain. Which of the following actions should the nurse take? a. notify the provider b. administer an analgesic c. administer an antiemetic d. turn the client onto the operative side

a. notify the provider medications should not be administered until evaluated by the provider turning the client on the operative side could result in increased eye pain and worsen the nausea.

The nurse is preparing to administer eye drops for a client scheduled for cataract surgery. The nurse expects an order for which type of eye drop? a A thiazide diuretic b A mydriatic agent c An osmotic diuretic d A miotic preparation

b. a mydriatic agent A mydriatic agent produces dilation of the pupil and constriction of blood vessels. A miotic drop would constrict the pupil. An osmotic diuretic would be used to decrease intraocular pressure. A thiazide diuretic promotes the excretion of bodily fluids and is not used for cataracts.

The nurse is reviewing the record of a client who has cataracts. The nurse expects which manifestation of cataracts to be noted? a Diplopia b Blurred vision c Eye pain d Floating spots

b. blurred vision

The nurse is caring for a client who is in the recovery area following cataract surgery. The nurse would ask the client about which manifestations that would indicate onset of retinal detachment as a postoperative complication? select all a. increased lacrimation b. flashing lights c. sudden, severe eye pain d. inability to move the eye e. loss of part of visual field in the eye

b. flashing lights e. loss of part of visual field

After a client has undergone outpatient surgery for a right eye cataract removal, the nurse teaches the client to avoid which activity when the client gets home? select all a. walking about the house unassisted b. lying on the right side c. picking up the objects that are at waist level d. washing dishes in the sink e. mowing the lawn

b. laying on the right side e. mowing the lawn

When a client who has undergone cataract extraction is preparing to go home, the nurse reinforces which of the following instructions? a. Remove the dressing at bedtime. b. Set a new appointment with the surgeon for 1 month from the day of discharge. c. Avoid sleeping on the operative side. d. Expect a headache for the first few days after the procedure.

c. avoid sleeping on the operative side

A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following clinical manifestations should the nurse expect to find? select all a. eye pain b. floating spots c. blurred vision d. white pupils e. bilateral red reflexes

c. blurred vision d. white pupils floating spots = retinal detachment e. red reflexes are ABSENT

During the immediate postoperative phase, a client who had cataract surgery complains of nausea and severe pain on the operative side. The nurse takes which action? a Turns the client to the operative side b Reassures the client that this is expected c Reports client's complaints to the physician d Administers ordered antiemetic and analgesic

c. call the physician

On a client's return from cataract surgery, the nurse in the ambulatory surgery recovery unit places the client: a On the affected side. b In a private room. c In semi-Fowler's position. d Near the nurse's station.

c. decrease intraocular pressure

The nurse is caring for a client who has had surgery to remove cataracts and selects which nursing diagnosis as a priority of care? a Imbalanced Nutrition b Self-Care Deficit c Disturbed Sensory Perception d Anxiety

c. disturbed sensory perception

When assessing a client, the nurse notes absence of the red reflex in the client's right eye. On questioning, the client responds, "Oh yes, my doctor told me I have cataracts. When should I have them removed?" How should the nurse respond? a "Are you starting to experience frequent headaches or pain in your right eye?" b "Cataracts can be removed any time that it is convenient for you." c "It appears that the right eye is due for surgery." d "Are you having difficulty reading or doing activities you enjoy?"

d. difficulty doing activities you enjoy

Which of the following statements indicates to the nurse that the client has understood home care instructions following cataract surgery? a "I may not watch television for 6 weeks." b "I can sleep on whichever side I want as long as my head is raised." c "I should keep the protective eye shield in place 24 hours a day." d "I should not bend over to pick up objects from the floor."

d. don't bend over