Question

A client who has undergone cataract removal without an intraocular lens implant is visibly upset because his vision is still blurry. The nurse should do which of the following to provide realistic reassurance to this client?

Provide Assurance That Vision Will Improve Overnight
Explain That Vision May Be Blurry Initially, But Will Improve Over Time
Recommend Wearing Glasses with Strong Prescription
Suggesting Immediate Return to the Surgeon for Assessment

Answer 1

The nurse should inform the patient that vision can be blurry after cataract surgery without an intraocular lens and that prescription glasses will be needed. Healing takes time, and follow-up care is essential for optimal vision recovery.

Step-by-step explanation:

The nurse should explain to the client that vision may be blurry initially after cataract surgery, especially if an intraocular lens (IOL) implant is not used. It takes some time for the eye to heal and adapt after the procedure. In the absence of an IOL, the patient will likely need prescription glasses to see clearly. This is because the eye's natural lens, which typically provides about 16 diopters (D) of focusing power, has been removed. It is important to provide the patient with realistic expectations and suggest follow-up care with the surgeon for the best adjustment to vision post-surgery.