What information will the nurse include when teaching the patient and family about postoperative care for a trabeculectomy? (Select all that apply.)
a. Use aseptic technique for all dressing changes and medication administration.
b. Place the patient on the operated side.
c. Avoid heavy lifting.
d. Redness in the eye, pain, and swelling are common occurrences after surgery.
e. Avoid straining on defecation.
ANS: A, C, D, E
Teach the patient and family proper hygiene and eye care techniques to ensure that medications, dressings, and/or surgical wounds are not contaminated during necessary eye care. Explain and enforce activity and exercise restrictions. To prevent an increase in IOP, instruct the patient to avoid heavy lifting, straining on defecation, coughing, or bending and placing the head in a dependent position. Teach the patient and family about signs and symptoms of infections and when and how to report them to allow early recognition and treatment of possible infection. Straining increases IOP and should be avoided. The patient is positioned on the unoperated side or the back.
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