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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Telling the client they will not need any special treatment after surgery is inaccurate. Bilateral adrenalectomy results in the removal of both adrenal glands, which produce essential hormones.
Choice B reason: Chemotherapy is not a standard post-surgical treatment for an adrenalectomy unless there is a specific indication. This statement may cause unnecessary concern for the client.
Choice C reason: An abdominal binder is not typically required after a bilateral adrenalectomy. This information is not relevant to the client's post-surgical needs.
Choice D reason: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands are responsible for producing essential hormones like cortisol and aldosterone
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Beta blockers are medications that can slow the heart rate, leading to sinus bradycardia. They are often prescribed for managing hypertension, arrhythmias, and other cardiovascular conditions. They work by blocking the effects of adrenaline on the heart, which reduces heart rate and blood pressure.
Choice B reason: Fever typically causes an increase in heart rate (tachycardia) rather than a decrease. The body's metabolic rate increases to fight infection, resulting in a higher heart rate.
Choice C reason: Athletism can result in sinus bradycardia because athletes often have a lower resting heart rate due to the increased efficiency of their cardiovascular system. Their hearts pump more effectively, requiring fewer beats per minute to circulate blood throughout the body.
Choice D reason: Sleeping naturally leads to a slower heart rate due to the relaxation of the body and reduced metabolic demands during rest. Sinus bradycardia during sleep is generally considered normal and not a cause for concern.
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