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Zorluk: ZorBasic Care and Comfort

An older adult client is recovering in the outpatient surgical unit following an uncomplicated right eye cataract extraction. The client reports feeling exhausted and asks the licensed practical nurse for help getting comfortable to sleep. Which action should the nurse take to safely promote the client's rest?

  1. A
    Assist the client into a right lateral position with a soft pillow under the head to minimize postoperative swelling
  2. B
    Lower the head of the bed until it is completely flat to maintain neutral spinal alignment during sleep
  3. Elevate the head of the bed to 30 degrees and position the client supine or resting on the left sideCevap
  4. D
    Prompt the client to lean forward and rest their head on a padded overbed table to decrease ocular tension

Cevap

The correct action is to elevate the head of the bed to 30 degrees and position the client supine or on the non-operative (left) side.
Following cataract surgery, maintaining a semi-Fowler's position (head elevated 30 to 45 degrees) and resting on the non-operative side or back is essential. This utilizes gravity to decrease venous congestion in the head, keeping intraocular pressure (IOP) low while preventing direct physical pressure on the surgical site.

Adım Adım Çözüm

1
Identify the primary clinical risk for a client immediately following a cataract extraction.
The primary risk is an increase in intraocular pressure (IOP), which can compromise the surgical repair.
Understanding the anatomical risks directs the appropriate comfort and positioning measures.
2
Evaluate the physiological impact of head elevation on intraocular pressure.
Elevating the head of the bed utilizes gravity to promote venous drainage from the head, thereby reducing IOP.
Positions that increase cerebral blood flow, such as lying flat or bending forward, will increase IOP and are contraindicated.
3
Determine the safest body alignment and side-lying position for the client.
The client should be positioned either supine or on the non-operative (left) side.
Lying on the operative (right) side places direct pressure on the surgical eye, which increases IOP and risks mechanical injury to the incision.

Anahtar Kavram

Postoperative Positioning for Cataract Extraction
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Konular

Basic Care and Comfort

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