Page 1963 - Saunders Comprehensive Review For NCLEX-RN

recommended by the manufacturer in order to prolong the life of the device.

Box 56-7

Client Education Following Myringotomy

▪ Avoid strenuous activities.
▪ Avoid rapid head movements, bouncing, or bending.
▪ Avoid straining on bowel movement.

▪ Avoid drinking through a straw.
▪ Avoid traveling by air.
▪ Avoid forceful coughing.
▪ Avoid contact with persons with colds.
▪ Avoid washing hair, showering, or getting the head wet for 1 week as
prescribed.
▪ Use proper hand hygiene to prevent infection.
▪ Instruct the client that if he or she needs to blow the nose, to blow 1 side at a
time with the mouth open.
▪ Instruct the client to keep ears dry by keeping a ball of cotton coated with
petroleum jelly in the ear and to change the cotton ball daily.
▪ Instruct the client to report excessive ear drainage to the primary health care
provider.

Practice Questions

676. During the early postoperative period, a client who has undergone a cataract
extraction complains of nausea and severe eye pain over the operative site.
What should be the initial nursing action?
1. Call the surgeon.
2. Reassure the client that this is normal.
3. Turn the client onto her or his operative side.
4. Administer the prescribed pain medication and antiemetic.
677. The nurse is developing a teaching plan for a client with glaucoma. Which
instruction should the nurse include in the plan of care?
1. Avoid overuse of the eyes.
2. Decrease the amount of salt in the diet.
3. Eye medications will need to be administered for life.
4. Decrease fluid intake to control the intraocular pressure.
678. The nurse is performing an admission assessment on a client with a
diagnosis of detached retina. Which sign or symptom is associated with this
eye problem?
1. Total loss of vision
2. Pain in the affected eye

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