A client is brought into the emergency room with sudden severe complaints of eye pain, blurred and decreased visual acuity, and extreme pressure in their eyes. The nurse would most likely suspect the client to have:

Chronic open-angle glaucoma

Retinal detachment

Cataracts

Acute angle-closure glaucoma

Answer and Explanation

The Correct Answer is D

Choice A reason: Chronic open-angle glaucoma is a gradual condition that usually progresses without noticeable symptoms until significant vision loss has occurred. It is characterized by the gradual buildup of pressure within the eye, but it does not present with sudden, severe symptoms.

Choice B reason: Retinal detachment presents with symptoms such as flashes of light, floaters, and a curtain-like shadow over the field of vision, but it does not typically cause severe pain or pressure in the eyes.

Choice C reason: Cataracts cause blurred vision and decreased visual acuity but develop slowly over time and do not cause sudden severe eye pain or extreme pressure.

Choice D reason: Acute angle-closure glaucoma is characterized by sudden, severe eye pain, blurred and decreased visual acuity, and increased intraocular pressure. This condition is a medical emergency that requires immediate treatment to prevent permanent vision loss.

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Correct Answer is D

Explanation

Choice A reason: Telling the client it is too soon to expect to feel normal and to give it a few more years dismisses her feelings and provides an unrealistic timeline. It is not supportive or empathetic.

Choice B reason: Saying "Really, you look just fine to me. There's no need to feel undesirable" invalidates the client's feelings and does not address her concerns about her body image and sexual desire.

Choice C reason: Suggesting an afternoon at the spa and a facial to make her feel more attractive trivializes the client's emotional and physical experience post-surgery. It does not provide meaningful support or address the underlying issues.

Choice D reason: Expressing interest in how the client's body feels to her validates her feelings and opens up a dialogue for her to share her concerns. This approach is empathetic and allows the nurse to provide better support and address any issues the client might have.

A. Increased urinary output B. Hyperactive bowel sounds C. Abdominal tenderness/pain D. Bradycardia

Correct Answer is C

Explanation

Choice A reason: Increased urinary output is not a manifestation of peritonitis. Peritonitis affects the peritoneal cavity, leading to abdominal symptoms rather than changes in urinary output.

Choice B reason: Hyperactive bowel sounds can occur in various gastrointestinal conditions but are not specific to peritonitis. Peritonitis typically presents with abdominal pain and tenderness.

Choice C reason: Abdominal tenderness/pain is a key manifestation of peritonitis. Inflammation of the peritoneum causes significant discomfort, and patients may also exhibit signs of infection such as fever and increased white blood cell count.

Choice D reason: Bradycardia is not commonly associated with peritonitis. Peritonitis primarily affects the abdominal cavity and may lead to systemic symptoms like fever and tachycardia, but not typically bradycardia.

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A client is brought into the emergency room with sudden severe complaints of eye pain, blurred and decreased visual acuity, and extreme pressure in their eyes. The nurse would most likely suspect the client to have:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which manifestations of peritonitis?

Correct Answer is C

Explanation

A nurse in the emergency department is caring for a client who is suspected to be in a cholinergic crisis. Which of the following factors should the nurse identify as a possible cause?

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