A nurse is providing discharge instructions for a client who had a cataract extraction. Which of the following statements should the nurse make?

Nursing care following a cataract extraction focuses on protecting the surgical eye, preventing increases in intraocular pressure, and promoting proper healing. Cataract extraction requires strict postoperative precautions because the eye remains vulnerable to pressure changes and trauma during the early recovery period. Activities that increase venous pressure or strain can compromise surgical outcomes. Patient education is essential to prevent complications such as wound dehiscence, bleeding, or increased intraocular pressure. Rationale: A. Avoiding blowing the nose is appropriate because forceful exhalation can increase intraocular pressure and disrupt the surgical site. This pressure change may lead to wound leakage or displacement of the intraocular lens. Patients are also advised to sneeze or cough with an open mouth to reduce pressure transmission to the eye. B. Resuming cleaning activities such as vacuuming is not recommended immediately after cataract surgery because bending, straining, and exposure to dust can increase intraocular pressure and risk infection. Early postoperative recovery requires limiting strenuous activities and avoiding environments that may introduce irritants to the healing eye. Rest and gradual return to activity are essential. C. Keeping the head in a dependent position is contraindicated because it increases pressure within the eye and can compromise surgical healing. Patients are usually instructed to keep the head elevated, especially when lying down, to promote drainage and reduce intraocular pressure. Dependent positioning increases the risk of complications. D. Taking aspirin for pain is not recommended because aspirin has antiplatelet effects that can increase the risk of postoperative bleeding. After cataract surgery, non-aspirin analgesics are preferred unless otherwise prescribed. Bleeding in the eye can significantly impair vision and delay healing.