Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?
A. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.
Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract surgery.
B. Notify the surgeon if white drainage develops on the eyelids.
Any drainage should be reported, not just white.
C. Sleep on the abdomen to facilitate wound healing.
Sleeping position won’t necessarily affect wound healing in this case.
D. Bend at the waist to pick objects up from the floor.
Bending at the waist can increase intraocular pressure, which should be avoided.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Med Surg Custom Proctored Exam 2. Take the full exam now
Full Explanation
Choice A rationale:
Lifting heavy objects can increase intraocular pressure, which should be avoided after cataract surgery.
Choice B rationale:
Any drainage should be reported, not just white.
Choice C rationale:
Sleeping position won’t necessarily affect wound healing in this case.
Choice D rationale:
Bending at the waist can increase intraocular pressure, which should be avoided.
Similar Questions
A nurse is caring for a client who has an indwelling urinary catheter.
Which of the following actions should the nurse take to prevent infection?
A. Clean the perineal area with an antiseptic solution daily.
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
B. Irrigate the catheter once each shift.
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
C. Check the catheter tubing for kinks or twisting.
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
D. Replace the catheter every 3 days.
Replacing the catheter every 3 days is not necessary and can increase infection risk.
Full Explanation
Choice A rationale:
Cleaning the perineal area with antiseptic solution daily is not necessary and can disrupt normal flora.
Choice B rationale:
Routine irrigation of the catheter is not recommended as it can introduce bacteria.
Choice C rationale:
Checking the catheter tubing for kinks or twisting ensures urine flow and prevents infection.
Choice D rationale:
Replacing the catheter every 3 days is not necessary and can increase infection risk.
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
A. Ambulating soon after surgery.
Ambulating soon after surgery is actually encouraged as it promotes blood flow and reduces the risk of VTE.
B. Massaging her legs.
Massaging the legs can dislodge a clot if one has formed, leading to a VTE.
C. Flexing her ankles.
Flexing the ankles promotes blood flow and reduces the risk of VTE.
D. Elevating her feet.
Elevating the feet can reduce swelling and promote venous return, reducing the risk of VTE.
Full Explanation
Choice A rationale:
Ambulating soon after surgery is actually encouraged as it promotes blood flow and reduces the risk of VTE.
Choice B rationale:
Massaging the legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Flexing the ankles promotes blood flow and reduces the risk of VTE.
Choice D rationale:
Elevating the feet can reduce swelling and promote venous return, reducing the risk of VTE.
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. "The bright light in this room is really bothering me.”.
Sensitivity to light is a common postoperative symptom after cataract surgery.
B. "It's hard to see with a patch on one eye. I'm afraid of falling.”.
Difficulty with depth perception is expected when one eye is patched.
C. "I need something for the pain in my eye. I can't stand it.”.
Severe pain is not a normal postoperative symptom and should be reported to the provider.
D. "My eye really itches, but I'm trying not to rub it.”.
Itching is a common postoperative symptom after cataract surgery.
Full Explanation
Choice A rationale:
Sensitivity to light is a common postoperative symptom after cataract surgery.
Choice B rationale:
Difficulty with depth perception is expected when one eye is patched.
Choice C rationale:
Severe pain is not a normal postoperative symptom and should be reported to the provider.
Choice D rationale:
Itching is a common postoperative symptom after cataract surgery.