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Zorluk: OrtaBasic Care and Comfort

A practical nurse is providing postoperative care for a client who recently returned to the unit following a right-sided cataract extraction. Which basic care and positioning interventions should the nurse implement to prevent complications? Select all that apply.

  1. Elevate the head of the bed to 30 to 45 degrees.Cevap
  2. Position the client on the unoperated (left) side.Cevap
  3. Instruct the client to avoid bending forward at the waist.Cevap
  4. D
    Maintain the client in a flat, supine position to stabilize the eye.
  5. E
    Turn the client onto the right side to splint the operative area.

Cevap

The nurse should elevate the head of the bed, position the client on the unoperated side, and instruct the client to avoid bending forward at the waist.
Following cataract surgery, preventing an increase in intraocular pressure (IOP) is critical. Elevating the head of the bed promotes venous drainage, positioning on the unoperated side prevents direct pressure on the affected eye, and avoiding bending at the waist prevents sudden spikes in IOP.

Adım Adım Çözüm

1
Identify the surgical procedure and its primary postoperative risk.
The client had a right-sided cataract extraction. The primary risk is increased intraocular pressure (IOP).
Understanding the procedure is essential for determining safe positioning and activity guidelines.
2
Evaluate each intervention for its effect on intraocular pressure.
Elevating the head, lying on the unoperated side, and avoiding bending at the waist all help keep IOP low.
Basic care interventions must align with preventing complications specific to the surgery.
3
Identify contraindicated positions.
Lying flat and lying on the operative side both increase IOP and are contraindicated.
Avoiding harmful positions protects the surgical site from pressure and increased blood flow.

Anahtar Kavram

Postoperative basic care and positioning following eye surgery focuses on preventing increased intraocular pressure.
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