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Question

Difficulty: MediumBasic Care and Comfort

An ambulatory care client has just been transferred to the short-stay surgical unit following a right eye cataract extraction. As the practical nurse assists the client into bed for the recovery period, which of the following positions is most appropriate to promote comfort and prevent postoperative complications?

  1. Positioned on the left side with the head of the bed elevated 30 degreesAnswer
  2. B
    Positioned on the right side with the head of the bed elevated 30 degrees
  3. C
    Positioned supine with the head of the bed completely flat
  4. D
    Positioned prone with the face turned to the left side

Answer

Positioned on the left side with the head of the bed elevated 30 degrees
The most appropriate position following cataract surgery is to have the head of the bed elevated (Semi-Fowler's position) and the client resting on the non-operative side or back. Elevating the head to 30 degrees promotes venous drainage from the head, thereby reducing intraocular pressure. Placing the client on the left side protects the right eye (the operative side) from direct pressure and accidental injury.

Step-by-Step Solution

1
Identify the surgical procedure and the operative side from the scenario.
The client underwent a cataract extraction on the right eye.
Knowing the operative side is crucial for determining safe postoperative positioning.
2
Recall the principles of positioning after cataract surgery.
The goal is to decrease intraocular pressure (IOP) and protect the surgical site. This is achieved by elevating the head of the bed and avoiding pressure on the operative eye.
Increased IOP can cause severe complications, including hemorrhage or suture rupture.
3
Evaluate the given positions against these safety principles.
Positioning on the unoperated (left) side with the head elevated is the only option that minimizes IOP and avoids direct pressure on the right eye.
Other positions either place pressure on the operative side or fail to use gravity to reduce ocular pressure.

Key Concept

Postoperative Positioning for Cataract Surgery
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Topics

Basic Care and Comfort

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