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Soru

Zorluk: OrtaBasic Care and Comfort

An older adult client arrives at the recovery unit after undergoing surgical removal of a cataract in the left eye. When setting up the bed and assisting the client to rest, which positioning action should the practical nurse implement?

  1. Position the client flat on the back or onto the non-operative right sideCevap
  2. B
    Place the client on the left side with a supportive pillow behind the back
  3. C
    Assist the client into a prone position to encourage natural fluid drainage
  4. D
    Elevate the head of the bed slightly and encourage the client to flex the neck forward

Cevap

Position the client flat on the back or onto the non-operative right side.
Placing the client on their back (supine) or on the unoperated side (the right side) is the standard postoperative intervention for cataract surgery. This position prevents the mattress or pillows from applying direct pressure to the operative eye, effectively minimizing intraocular pressure and preventing surgical site disruption.

Adım Adım Çözüm

1
Identify the surgical procedure and the affected side.
The client had a left-eye cataract extraction.
Knowing the affected side determines which positioning strategies are safe to use.
2
Determine the primary physiological risk following this surgery.
The major risk is increased intraocular pressure (IOP) or direct trauma to the operative site.
Any increase in IOP can lead to bleeding, suture rupture, or impaired healing.
3
Select the position that minimizes pressure on the left eye.
Supine or right-sided lying positions are chosen.
These positions use gravity to keep pressure off the left eye and prevent accidental physical pressure against the mattress.

Anahtar Kavram

Following eye surgery, the client must be positioned to prevent any increase in intraocular pressure, which means avoiding lying on the operative side, bending the neck, or assuming a prone position.
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Konular

Basic Care and Comfort

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