Which interventions should the nurse perform if she is caring for a client who underwent surgical repair of a detached retina of the right eye?
A. Place the client in a prone position. B. Approach the client from the left side. C. Encourage deep breathing and coughing. D. Discourage bending down. E. Orient the client to his environment. F. Administer a stool softener.
Approach the client from the left side.-2. discourage bending down.-3. orient the client to his environment.-4. administer a stool softener.-rationale: the nurse should approach the client from the left side the unaffected side to avoid startling him. she should also discourage the client from bending down, deep breathing, hard coughing and sneezing, and other activities that can increase intraocular pressure. the client should be oriented to his environment to reduce the risk of injury. stool softeners should be administered to discourage straining during defecation. the client should lie on his back or on the unaffected side to reduce intraocular pressure on the affected eye.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical-surgical nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 2068.