Mrs. Blakely had an intracapsular extraction yesterday. Early this morning she complained of eye pain and nausea after breakfast while continuing to complain of eye pain. Your analysis of the situation is that Mrs. Blakely is

Correct Answer: C

Rationale: In this scenario, the correct answer is C) experiencing increased intraocular pressure. Following an intracapsular cataract extraction, there is a risk of developing increased intraocular pressure due to factors like retained lens material or blood in the eye. This can lead to symptoms like eye pain and nausea. Recognizing this complication is crucial for prompt intervention to prevent further damage to the eye. Option A) unable to tolerate a regular diet this soon postoperatively is incorrect because the symptoms described are more indicative of an ocular issue rather than a dietary problem. Option B) allergic to the pain medication is unlikely as the symptoms are specific to the eye and not generalized allergic reactions. Option D) exhibiting symptoms of postoperative infection is less likely without signs such as redness, discharge, or fever, which are typical in an infected eye. Educationally, understanding postoperative complications in ophthalmic surgeries is essential for nurses caring for patients undergoing such procedures. This knowledge enables timely identification and intervention, ultimately ensuring better outcomes for patients like Mrs. Blakely.

Correct Answer: B

Rationale: The correct response, option B, is the best choice in this scenario for several reasons. First, it acknowledges the patient's distress and addresses their concerns empathetically. By reassuring the patient that they are not in immediate danger of dying from opioid withdrawal, the nurse can help manage the patient's anxiety and build rapport. Additionally, offering to check if there are any PRN (as needed) medications available demonstrates a proactive approach to addressing the patient's discomfort within the scope of appropriate care. Option A is incorrect because calling a rapid response for a patient experiencing opioid withdrawal is not warranted unless the patient is in a life-threatening situation, such as respiratory distress or severe overdose. This response may escalate the situation unnecessarily and is not aligned with evidence-based practice for managing opioid withdrawal. Option C is also incorrect as it dismisses the patient's concerns and delays addressing their distress. Patients in withdrawal often experience intense physical and psychological symptoms, and it is important to provide support and guidance promptly. Option D is incorrect because ordering a narcotic for a patient in opioid withdrawal is not recommended as it can perpetuate the cycle of addiction and is not considered best practice in managing withdrawal symptoms. In an educational context, this scenario highlights the importance of effective communication, empathy, and evidence-based practice in managing patients with substance use disorders. Nurses play a crucial role in providing holistic care to individuals experiencing withdrawal and must approach such situations with compassion and a focus on harm reduction strategies.

Correct Answer: A

Rationale: The best response to the patient's father calling his son a bum due to his drug use and legal issues is option A) Anyone can become physiologically and psychologically dependent on drugs, leading to various negative consequences. This response is correct because it addresses the father's judgmental statement with empathy and educates about the nature of addiction. By highlighting the physiological and psychological aspects of drug dependence, it helps the father understand that his son's behavior is a result of a complex issue requiring compassion and support. Option B) Your son realizes his problem and is trying to change, while positive, may oversimplify the challenges of addiction and may not address the father's concerns adequately. Option C) Have you thought about going to family therapy? and Option D) Have you heard about Nar-Anon or Al-Anon? are premature suggestions before addressing the father's misconceptions about addiction. In an educational context, it is crucial to teach healthcare professionals to respond to sensitive family dynamics with empathy and evidence-based information. Understanding addiction as a complex health issue rather than a moral failing is essential in providing holistic care to patients and their families. Educating on the multifaceted nature of addiction helps reduce stigma and fosters a supportive environment for recovery.

Correct Answer: D

Rationale: In eye drop administration, placing the steps in the correct order is crucial for effective and safe medication delivery. The correct order for eye drop administration is option D: Have the client look up while you instill the number of prescribed drops. This step is correct because having the client look up helps to expose the lower conjunctival sac, making it easier to instill the drops accurately without touching the eye. Option A is incorrect because gently pressing on the lacrimal duct for 1 minute is done after instilling the drops to prevent systemic absorption. Option B is incorrect as it precedes instilling the drops and should come after the client looks up. Option C is incorrect because having the client close the eye and move it around is not necessary for eye drop administration and may cause the medication to leak out. In an educational context, teaching the correct order of eye drop administration is essential to ensure optimal therapeutic effects and prevent complications. By understanding the rationale behind each step, nursing students can provide safe and effective care to patients needing eye medications. Practice questions like these help reinforce the correct sequence of steps and enhance students' clinical skills.

Correct Answer: D

Rationale: In the context of cataract surgery discharge teaching, it is crucial to educate clients and their families on the signs and symptoms that warrant immediate medical attention. The correct answer, option D - "Intense pain not relieved by prescribed medications," is the most critical symptom to report to the physician promptly. Intense pain post-cataract surgery can indicate complications such as infection, increased intraocular pressure, or other serious issues that require immediate evaluation and intervention to prevent further damage or vision loss. Options A, B, and C are incorrect because they do not pose the same level of urgency as intense, persistent pain. A scratchy sensation in the operative eye (option A) is common after surgery and usually resolves with proper postoperative care. Loss of depth perception with the patch in place (option B) is a temporary visual disturbance that is expected in the immediate postoperative period. Inadequate vision 6-8 hours after the patch is removed (option C) may be due to transient factors like corneal edema or residual anesthesia effects and often improves over time. In an educational setting, understanding the importance of recognizing and promptly reporting abnormal symptoms post-cataract surgery is essential for ensuring optimal patient outcomes. By emphasizing the significance of reporting intense pain that is unrelieved by prescribed medications, healthcare providers can empower patients and their families to take an active role in their postoperative care and seek timely medical attention when needed.