A nurse at an outpatient surgery center is reinforcing discharge teaching with a client's partner following surgical removal of a cataract. Which of the following information should the nurse include in the teaching?

Choice A rationale Patients should avoid lying on the affected side after cataract surgery. Positioning the client on the unaffected side reduces dependent edema and prevents accidental pressure on the surgical eye, which could disrupt the incision or increase intraocular pressure. Maintaining a position that protects the eye from any external force is critical during the initial healing phase. Pressure on the eye can lead to complications such as wound dehiscence or displacement of the newly implanted intraocular lens. Choice B rationale There is no physiological requirement for a soft food diet following cataract surgery. The procedure is typically performed under local anesthesia with sedation and does not involve the gastrointestinal tract or the muscles of mastication. Patients can generally resume their regular diet immediately after the procedure. The focus of post-operative teaching should be on ocular safety and medication adherence rather than dietary restrictions, as chewing does not place any significant stress on the ocular surgical site. Choice C rationale Wearing dark glasses is a standard post-operative instruction because the eye is often dilated and sensitive to light following surgery. Furthermore, the glasses provide a physical barrier that protects the eye from dust, debris, and accidental rubbing. Protection from ultraviolet light is also important as the eye heals. This intervention helps minimize discomfort from photophobia and ensures the surgical site remains clean and undisturbed during the first few days of recovery, which is vital for preventing infection. Choice D rationale Bed rest for three days is unnecessary and potentially harmful, increasing the risk of venous thromboembolism and pulmonary complications. Most cataract surgeries are minimally invasive, and patients are encouraged to be ambulatory shortly after the procedure. While they should avoid strenuous activities, bending, or lifting heavy objects, normal light walking and sitting are permitted. Promoting early mobilization while maintaining eye safety precautions is the standard of care for ensuring a quick and healthy recovery without systemic complications.