Which of the following instructions should be provided to a ...

[daltonest1984]

Which of the following instructions should be provided to a client recovering from cataract surgery?
 
  1. Avoid rubbing the eye.
   2. Phone the physician with any signs of eye drainage.
   3. Healing will be complete in 2 weeks.
   4. Wear the eye patch the day of surgery only.

Question 2

The client who is about to be discharged asks the nurse for suggestions on how to improve the quality of her sleep so that she can wake feeling refreshed in the morning. The nurse reviews the client's history and suggests: (Select all that apply.
 
  ) 1. Adjust the temperature in the room to a comfortable level.
   2. Change the time of aerobic exercise to one hour prior to sleep.
   3. A cup of tea before bed is relaxing.
   4. Limit the use of alcohol to early in the evening.
   5. Do not smoke before bedtime.

[dpost18]

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.

[daltonest1984]

Thank you!

[dpost18]

Always glad to help...