A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following instructions should the nurse include?
Apply cool compresses.
Eye drops to constrict the pupils will be prescribed.
Restrict head movement.
Keep both eyes patched.
The Correct Answer is C
Choice A rationale
Applying cool compresses can help reduce swelling and discomfort, but it is not the primary instruction for a client scheduled for retinal detachment surgery.
Choice B rationale
Eye drops to constrict the pupils are not typically prescribed for retinal detachment surgery. The focus is on preventing further detachment and ensuring proper healing.
Choice C rationale
Restricting head movement is crucial to prevent further detachment of the retina and to promote proper healing after surgery. The client should be instructed to avoid sudden or excessive head movements.
Choice D rationale
Keeping both eyes patched is not necessary and may cause unnecessary discomfort and disorientation for the client.
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Correct Answer is A
Explanation
Choice A rationale
Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.
Choice B rationale
Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.
Choice C rationale
Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.
Choice D rationale
Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .
Correct Answer is B
Explanation
Choice A rationale
Avoiding bearing down is important for patients with certain conditions, but not specifically for Ménière’s disease.
Choice B rationale
Patients with Ménière’s disease should avoid sudden movements to prevent exacerbating vertigo and balance issues.
Choice C rationale
Increasing sodium intake can worsen fluid retention and symptoms of Ménière’s disease.
Choice D rationale
Increasing caffeine intake can exacerbate symptoms of Ménière’s disease, including tinnitus and vertigo.