EENT and Sleep Disorders Q 74 - Gyan Darpan : Learning Portal
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Tuesday 22 March 2022

EENT and Sleep Disorders Q 74



The nurse is carrying out his preoperative teachings for an older client who will have cataract surgery on the right eye. The nurse concludes that the client needs further understanding about the teachings if he says:
  
     A. "I will sleep on my left side after the surgery."
     B. "I will wipe my nose gently if it is congested after surgery."
     C. "I will call my physician if I have sharp and sudden pain or a fever after surgery."
     D. "I will bend below my waist frequently to increase circulation after surgery."
    
    

Correct Answer: D. I will bend below my waist frequently to increase circulation after surgery

Immediately after the procedure, the client should avoid bending over, to prevent putting extra pressure on the eye. Immediately after the surgery, avoid bending over as it puts added pressure on the eye. Try not to sneeze for the same reasons. Don’t do any strenuous activities for a few weeks. Avoid vigorous exercise and heavy lifting.

Option A: Sleeping on the non-operative side is recommended to avoid increasing the pressure on the affected eye. As the eye heals, the client may need to stay out of swimming pools or hot tubs, at least for the first week. Furthermore, he should stay away from areas with dust and pollen for a few weeks to avoid getting these irritants in the eye.
Option B: Blowing the nose is contraindicated because it increases the pressure on the operated eye. Immediately after the procedure, avoid bending over to prevent putting extra pressure on the eye. If at all possible, don’t sneeze or vomit right after surgery.
Option C: Germs that get in the eye during surgery can lead to an infection. The client might feel sensitive to light or have pain, redness, and vision problems. If this happens, the client should call the doctor right away.

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