The nurse is making follow-up phone calls to clients who had cataract surgery with intraocular lens implantation the previous day. The nurse receives which client report that requires priority intervention?

Question

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Following cataract surgery, the client will be instructed that for several days (or until approved by the surgeon), activities that may increase intraocular pressure should be avoided to decrease the risk of damage to sutures or surgical site. These include bending (eg, vacuuming floors, playing golf), lifting more than 5 lb, sneezing, coughing, rubbing or placing pressure on the eye, or straining during a bowel movement. The nurse should encourage this client to increase fluids and fiber in the diet as well as consider an over-the-counter stool softener or laxative. (Option A) It may take 1-2 weeks before visual acuity is improved. (Option C) It is common for the client to experience itching ("sand" in the eye), photophobia, and mild pain for several days following surgery. Purulent drainage, increased redness, and severe pain should be reported. (Option D) Sleeping on 2 pillows will elevate the head of the bed and decrease intraocular pressure. Educational objective: Following cataract surgery, the client should be instructed to avoid coughing, sneezing, lifting over 5 lb, bending, rubbing the eye, or straining during bowel movements for several days to prevent increased intraocular pressure. It is common for the client to experience itching ("sand" in the eye), photophobia, and mild pain for several days following surgery.

The Nurse Is Making Follow-Up Phone Calls to Clients Who