A 64-year-old client is prescribed bifocals to correct myopia and presbyopia.
To evaluate the effectiveness of the lenses, the nurse will assess the client for:
Symmetry of extraocular movement.
Both near and distant vision.
Cloudiness in the lens of the eye.
Intraocular pressure changes.
The Correct Answer is B
Choice A rationale
Symmetry of extraocular movements assesses cranial nerve function but does not relate to the corrective purpose of bifocals, which is addressing near and distant vision issues caused by presbyopia and myopia.
Choice B rationale
Bifocals correct presbyopia and myopia by combining lenses for near and distant vision in one frame. Effectiveness is assessed by evaluating improvements in both visual ranges, ensuring accommodation and refraction are properly corrected.
Choice C rationale
Cloudiness in the lens indicates cataracts, which bifocals cannot correct. Cataracts require surgical intervention, making this assessment irrelevant to determining bifocal lens effectiveness for presbyopia and myopia.
Choice D rationale
Intraocular pressure changes relate to glaucoma, not refractive issues like myopia or presbyopia. Monitoring for glaucoma requires tonometry, independent of bifocal lens evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Non-tender lymph nodes and productive cough are more suggestive of later-stage infections or malignancies, not early HIV presentation which resembles acute viral syndrome.
Choice B rationale
Flu-like symptoms such as chills and aches occur during acute retroviral syndrome due to initial viral replication and immune response shortly after HIV infection.
Choice C rationale
Abdominal cramping and loose stools are associated with gastrointestinal infections in later stages of HIV due to opportunistic pathogens, not acute early-stage presentation.
Choice D rationale
High fever, severe headache, and change in mentation are indicative of central nervous system infections or complications in advanced HIV stages, not early acute HIV symptoms.
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Weekly appointments to change the catheter are unnecessary unless specifically indicated. Most urinary catheters are changed monthly or as needed based on physician's discretion or complications.
Choice B rationale
Sexual intimacy is possible with an indwelling urinary catheter if handled properly. Providing education on safe practices promotes normalcy and quality of life for the patient.
Choice C rationale
Wearing underwear is recommended to protect the catheter and minimize risk of contamination or accidental dislodgement. This information supports proper hygiene and comfort.
Choice D rationale
Regular emptying of the leg bag every 4 hours or more frequently prevents overfilling, which could lead to backflow and increased risk of urinary tract infections.
Choice E rationale
Foul-smelling, cloudy urine can indicate infection such as a urinary tract infection. Prompt reporting ensures early treatment and prevention of complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.