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A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?

A.

“My eye really itches, but I’m trying not to rub it.”.

B.

“The bright light in this room is really bothering me.”.

C.

“I’m afraid of falling.”.

D.

“I need something for the pain in my eye.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Itching is a common symptom after cataract surgery, and the client should be reminded not to rub or place pressure on the eyes. This comment does not indicate a serious complication.

 

Choice B rationale

 

Sensitivity to bright light is also common after cataract surgery. The client can be advised to wear sunglasses to reduce discomfort. This comment does not indicate a serious complication.

 

Choice C rationale

 

Fear of falling is a valid concern, especially if the client has impaired vision or depth perception due to the eye patch. However, this comment does not indicate a serious complication that needs immediate reporting.

 

Choice D rationale

 

Severe pain in the eye after cataract surgery can indicate a complication such as increased intraocular pressure, infection, or hemorrhage. This comment should be reported to the provider immediately for further evaluation and intervention.

 


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View Related questions

Correct Answer is ["A","B"]

Explanation

Choice A rationale

Intubation equipment and oxygen are essential for managing airway obstruction and ensuring adequate oxygenation in a patient experiencing anaphylaxis due to a severe peanut allergy.

Choice B rationale

Epinephrine is the first-line treatment for anaphylaxis as it rapidly reverses the symptoms by constricting blood vessels, relaxing muscles in the airways, and reducing swelling.

Choice C rationale

Blood administration equipment is not typically required for managing anaphylaxis unless there is a concurrent condition that necessitates it.

Choice D rationale

A Foley catheter is not relevant to the immediate management of anaphylaxis.

Correct Answer is C

Explanation

Choice A rationale

Dysphagia, or difficulty swallowing, is not a common manifestation of acoustic neuroma. It is more commonly associated with conditions affecting the throat or esophagus.

Choice B rationale

Apraxia, a motor disorder caused by damage to the brain, is not typically associated with acoustic neuroma. It affects the ability to perform coordinated movements.

Choice C rationale

Vertigo, or a sensation of spinning, is a common manifestation of acoustic neuroma. The tumor affects the vestibular nerve, which is responsible for balance and spatial orientation.

Choice D rationale

Diplopia, or double vision, is not a common symptom of acoustic neuroma. It is more often associated with conditions affecting the muscles or nerves controlling eye movement.

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