What discharge instruction should be given to a client after cataract removal with intraocular lens implant?

Correct Answer: D

Rationale: The correct answer is D: Avoid straining during bowel movement or bending at the waist. After cataract removal with intraocular lens implant, it is crucial to avoid straining to prevent increased intraocular pressure that could lead to complications. Straining during bowel movements or bending at the waist can increase the risk of complications such as increased eye pressure or dislocation of the intraocular lens. It is important to follow this instruction to ensure proper healing and minimize the risk of postoperative complications. Choice A: Avoid lifting objects weighing more than 5 lb (2.25 kg) is incorrect as lifting restrictions are usually not necessary after cataract surgery unless advised by the surgeon. Choice B: Lie on your abdomen when in bed is incorrect as it is not a standard postoperative instruction after cataract removal with intraocular lens implant. Choice C: Keep rooms brightly lit is incorrect as it is not a specific discharge instruction related to cataract surgery.

Correct Answer: A

Rationale: The correct answer is A: Away from the body. This is because opening the first flap away from the body reduces the risk of contaminating the sterile contents inside the package. By opening the flap away from the body, any potential contaminants on the outside of the envelop such as dust or germs are less likely to come in contact with the sterile items inside. Opening the flap in any other direction (B, C, or D) increases the chances of introducing contaminants into the sterile package, compromising its sterility. It is crucial to follow proper aseptic techniques to maintain the sterility of medical supplies and prevent infections.

Correct Answer: D

Rationale: The correct answer is D: Anisocoria. Anisocoria refers to unequal pupil size, which can be a result of various conditions affecting the eye or nervous system. The term "enteric" (A) refers to the intestines, not pupil size. Diplopia (B) is double vision, not unequal pupil size. Anecteric (C) is not a recognized medical term related to pupil size. Therefore, choice D is the correct answer as it specifically addresses the condition of unequal pupil size.

Correct Answer: B

Rationale: The correct answer is B: Call the doctor immediately. This is the most important nursing action because severe pain after a renal biopsy could indicate a serious complication such as internal bleeding or organ damage, which requires prompt medical intervention. Calling the doctor ensures timely assessment and appropriate treatment. Rationale for other choices: A: Assess for malingering - In this context, assuming the client is faking or exaggerating pain can delay necessary medical attention. C: Assess pain scale - While important, assessing pain scale alone does not address the urgency of the situation. D: Give analgesic as ordered - Administering pain medication without consulting the doctor first could mask symptoms of a serious complication and delay proper treatment.

Correct Answer: A

Rationale: The correct answer is A because identifying symptoms and measures to prevent urinary tract infections is a key indicator of successful management of urinary incontinence. This shows understanding of potential complications and proactive steps to prevent them. Choice B does not directly address the outcome related to urinary incontinence. Choice C focuses on disposal rather than management of incontinence. Choice D is more about personal hygiene rather than addressing the specific issue of incontinence. Therefore, A is the correct choice as it directly relates to the expected outcome for a client with urinary incontinence.