Which information should the nurse include when giving discharge instructions to a client following a left eye cataract extraction with lens implant?
Explanation & Rationale
A. Administer a stool softener: Straining during bowel movements increases intraocular pressure, which can disrupt healing after cataract extraction. Stool softeners are recommended to prevent constipation and protect the surgical site during recovery. B. Observe pupil response of the right eye: The unaffected eye does not provide useful information about healing of the operated eye. Monitoring should focus on pain, redness, drainage, or vision changes in the surgical eye instead. C. Sleep flat in a supine position: Lying flat increases intraocular pressure, which can compromise healing. Clients are typically advised to sleep with the head elevated and avoid pressure on the operative side. D. Turn, cough, and deep breathe every 2 hours: This intervention is standard after abdominal or thoracic surgery to prevent atelectasis, but coughing should be avoided after eye surgery. Coughing raises intraocular pressure and risks complications at the surgical site.