A client is 1-day post-operative from cataract surgery. Which of the following comments made by the client should the nurse report to the client's healthcare provider?

Choice A rationale Severe pain following cataract extraction is an abnormal finding that typically indicates a significant complication such as secondary glaucoma or ocular hemorrhage. Postoperative discomfort is expected to be mild, often described as a scratchy or itchy sensation. Intense pain suggests a rapid rise in intraocular pressure, which is a medical emergency. Normal intraocular pressure ranges from 10 to 21 mmHg. Reporting this immediately allows for rapid intervention to prevent permanent vision loss. Choice B rationale Bending at the waist is a physical action that significantly increases intraocular pressure by shifting fluid dynamics and increasing venous congestion in the head. Patients are instructed to avoid this movement to protect the surgical site and the newly implanted lens. Since the client is correctly following postoperative instructions to prevent pressure spikes, this comment is appropriate and does not require a report to the provider. It shows the client understands the safety precautions necessary for healing. Choice C rationale Scratching or rubbing the eye after surgery introduces a high risk of mechanical trauma to the incision site and potentially introduces pathogenic bacteria, leading to endophthalmitis. The eye is vulnerable during the initial healing phase of one to two days. By consciously avoiding this behavior, the client is minimizing the risk of infection and wound dehiscence. This statement reflects good adherence to the care plan and does not indicate a postoperative complication requiring medical notification. Choice D rationale Eye patches or shields are commonly prescribed for use during sleep to prevent accidental rubbing or pressure on the eye while the patient is unconscious. During the day, the patient may not need the patch if they are wearing glasses for protection. Since the client is using the patch as directed during the most vulnerable time of rest, this behavior is standard and expected. It does not signify a clinical problem that the healthcare provider needs to address.