A patient has just returned from surgery for removal of a cataract. Which nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Position the patient with the head of the bed up at 30 degrees.
2. Have the patient lie on the affected side.
3. Assess the operative eye for drainage.
4. Keep the eye patch in place.
5. Monitor the patient's pain level.
1,3,4,5
Rationale 1: The patient should recline at a 30-degree angle.
Rationale 2: The patient should lie on the unaffected side.
Rationale 3: The nurse will monitor for drainage from the affected eye.
Rationale 4: The patient's eye patch should be kept in place.
Rationale 5: A sudden onset of pain may be related to a ruptured vessel.
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