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1. Question
During the early postoperative period, the client who has had a cataract extraction complains of nausea and severe eye pain over the operative site. The initial nursing action is to:
Correct
Answer & Rationale:
Option 1 is Correct
Rationale: Severe pain or pain accompanied by nausea following a cataract extraction is an indicator of increased intraocular pressure and should be reported to the physician immediately. Options 2, 3, and 4 are inappropriate actions.
Test-Taking Strategy: Use the process of elimination. Note the strategic word severe. Eliminate option 2 because this is not a normal condition. The client should not be turned to the operative side; therefore, eliminate option 3. From the remaining options, focusing on the strategic word will direct you to option 1. If you had difficulty with this question, review the postoperative complications of cataract surgery requiring physician notification.
Incorrect
Answer & Rationale:
Option 1 is Correct
Rationale: Severe pain or pain accompanied by nausea following a cataract extraction is an indicator of increased intraocular pressure and should be reported to the physician immediately. Options 2, 3, and 4 are inappropriate actions.
Test-Taking Strategy: Use the process of elimination. Note the strategic word severe. Eliminate option 2 because this is not a normal condition. The client should not be turned to the operative side; therefore, eliminate option 3. From the remaining options, focusing on the strategic word will direct you to option 1. If you had difficulty with this question, review the postoperative complications of cataract surgery requiring physician notification.
Eye Cataract – adult
A cataract is a clouding of the lens of the eye.
Causes
The lens of the eye is normally clear. It acts like the lens on a camera, focusing light as it passes to the back of the eye.
Until a person is around age 45, the shape of the lens is able to change. This allows the lens to focus on an object, whether it is close or far away.
As a person ages, proteins in the lens begin to break down. As a result, the lens becomes cloudy. What the eye sees may appear blurry. This condition is known as a cataract.
Factors that may speed cataract formation are:
Diabetes
Eye inflammation
Eye injury
Family history of cataracts
Long-term use of corticosteroids (taken by mouth) or certain other medicines
Radiation exposure
Smoking
Surgery for another eye problem
Too much exposure to ultraviolet light (sunlight)
In many cases, the cause of cataract is unknown.
Cataracts develop slowly and painlessly. Vision in the affected eye slowly gets worse.
Mild clouding of the lens often occurs after age 60. But it may not cause any vision problems.
By age 75, most people have cataracts that affect their vision.
Problems with seeing may include:
Being sensitive to glare
Cloudy, fuzzy, foggy, or filmy vision
Difficulty seeing at night or in dim light
Double vision
Loss of color intensity
Problems seeing shapes against a background or the difference between shades of colors
Seeing halos around lights
Frequent changes in eyeglass prescriptions
Cataracts lead to decreased vision, even in daylight. Most people with cataracts have similar changes in both eyes, though one eye may be worse than the other. Often there are only mild vision changes.