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    ATI Adult health proctored exam (med surg)

    A nurse is reviewing discharge instructions with a client following a right cataract extraction.Which of the following instructions should the nurse include?

    Explanation & Rationale

    Choice A rationaleBending at the waist increases intraocular pressure, which can disrupt the healing process after cataract extraction and potentially lead to complications such as wound dehiscence or bleeding. Clients are typically advised to keep their head straight and bend at the knees to pick up objects.Choice B rationaleAvoiding lifting heavy objects is crucial to prevent increased intraocular pressure after cataract surgery. Lifting anything heavier than 4.5 kg (10 lb) can strain the eye and interfere with healing. This restriction typically lasts for several weeks to allow the surgical site to heal properly.Choice C rationaleWhite drainage from the eyelids after cataract surgery is an abnormal finding that could indicate an infection, such as endophthalmitis. Prompt notification of the surgeon is essential for timely diagnosis and treatment to prevent potentially serious vision-threatening complications.Choice D rationaleSleeping on the abdomen puts direct pressure on the operated eye, which can disrupt the surgical site and impede healing. Clients are usually advised to sleep on their back or on the non-operative side to avoid any pressure on the healing eye. .

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