Answer to Question 1
1. Avoid rubbing the eye.
Rationale:
The nurse should instruct the client to avoid rubbing the eye. The client may experience mild to moderate discomfort and some fluid discharge, which will subside within 1x2 days, but the physician does not need to be phoned. The client should wear eye protection as ordered and not just on the day of surgery. Healing will be complete within 7x8 weeks.
Answer to Question 2
1. Adjust the temperature in the room to a comfortable level.
4. Limit the use of alcohol to early in the evening.
5. Do not smoke before bedtime.
Rationale: A comfortable room temperature will promote sleep. Alcohol interferes with REM sleep, and its consumption should be limited to well before bedtime. Nicotine is a stimulant and may prevent the client from falling asleep. Exercise close to bedtime acts as a stimulant and can cause the client to be unable to sleep. Tea contains caffeine, which is a stimulant. The nurse could suggest non-caffeinated tea before bedtime unless this causes the client to wake during the night to urinate.
Eyesight Surgery
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Example of simplified note for one-time client.
Measuring the client’s weight with a standard platform scale
Testing client’s ability to identify dull sensation
Position the client