Author Question: What is the most significant nursing intervention to prevent increasing intraocular pressure when ... (Read 58 times)

Yi-Chen · **on:** Jun 27, 2018

What is the most significant nursing intervention to prevent increasing intraocular pressure when caring for a child who has just returned from cataract eye surgery?

a. Monitor for hypertension, which is a symptom of increased intraocular pressure.
b. Prevent coughing and vomiting.
c. Lower the head of the bed slightly and place the eye in a dependent position.
d. Avoid use of steroids after the surgery.

Question 2

The nurse is visiting the family of a newly pregnant patient whose spouse was ambivalent about the pregnancy during the first prenatal visit. Which observation indicates that the spouse is accepting the pregnancy?

A) Spouse leaves the house when the nurse arrives.
B) Spouse sits with the pregnant patient during the nurse's visit.
C) Spouse shouts down the stairs about the location of clean laundry.
D) Spouse tells the patient what needs to be obtained from the grocery store.

whitcassie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A Hypertension is not a symptom of increased intraocular pressure.
B Preventing coughing, straining, vomiting, and touching the operative site are all
measures directed toward avoiding increased intraocular pressure.
C The head of the bed should be raised slightly and the eye placed in a position that
is not dependent to prevent increasing intraocular pressure.
D Steroids, antibiotics, and mydriatics may be used after the surgery.

Answer to Question 2

B
Feedback:
If childbearing is to be a family affair, it is important to determine a partner's degree of acceptance of the pregnancy and how well prepared the spouse is of assuming a new parenting role. After confirmation of pregnancy, include the partner in health care information or suggestions. The spouse sitting with the pregnant patient during the nurse's visit indicates that the spouse is accepting the pregnancy. Leaving the house, shouting down the stairs about laundry, and giving a list of grocery items could indicate indifference or no interest in the pending pregnancy. These actions do not support acceptance of the pregnancy.