Author Question: A nurse has delegated applying a warm compress to a client's eye. What actions by the unlicensed ... (Read 91 times)

lunatika · **on:** Jun 25, 2018

A nurse has delegated applying a warm compress to a client's eye. What actions by the unlicensed assistive personnel (UAP) warrant intervention by the nurse? (Select all that apply.)

a. Heating the wet washcloth in the microwave
b. Holding the cloth on the client using an Ace wrap
c. Turning the cloth so it remains warm on the client
d. Using a clean washcloth for the compress
e. Washing the hands on entering the client's room

Question 2

A client had cataract surgery. What instructions should the nurse provide? (Select all that apply.)

a. Call the doctor for increased pain.
b. Do not bend over from the waist.
c. Do not lift more than 10 pounds.
d. Sexual intercourse is allowed.
e. Use stool softeners to avoid constipation.

ndhahbi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B
The washcloth should be warmed under running warm water. Microwaving it can lead to burns. Gentle pressure is used to hold the compress in place. The other actions are correct.

Answer to Question 2

ANS: A, B, C, E
The client should be taught to call the physician for increased pain as this might indicate infection or other complication. To avoid increasing intraocular pressure, clients are taught to not lift more than 10 pounds, to avoid bending at the waist, to avoid straining at stool, and to avoid sexual intercourse for a time after surgery.