A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nurse to report to the provider?
Conjunctivitis
Increased sensitivity to glare
Decreased near vision
Hemianopsia
The Correct Answer is D
Hemianopsia is a visual field defect in which there is a loss of vision in one-half of the visual field. It can be caused by a number of conditions, including stroke, brain tumors, and traumatic brain injury. It is a significant finding that requires immediate reporting to the provider, as it can indicate a serious underlying condition that requires further evaluation and treatment. Hemianopsia can significantly impact a client's ability to perform activities of daily living, mobility, and safety. Conjunctivitis is inflammation of the conjunctiva, which can cause redness, itching, and discharge. While it is important
to assess and treat conjunctivitis, it is not a priority finding that requires immediate reporting to the provider. Increased sensitivity to glare is a common age-related change in vision, and while it can be bothersome, it is not typically a priority finding that requires immediate reporting to the provider. Decreased near vision is another common age-related change in vision, and while it can be an important finding to address with the client, it is not typically a priority finding that requires immediate reporting to the provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice b. “I carry my baby with me as I move around the house.”
Choice A rationale:
Warming a baby’s bottle in the microwave is not recommended because it can create hot spots that might burn the baby’s mouth. This indicates a misunderstanding of safe bottle-warming practices.
Choice B rationale:
Carrying the baby while moving around the house promotes bonding and provides the baby with a sense of security. This indicates an understanding of the importance of physical closeness and attachment.
Choice C rationale:
Limiting the time grandparents cuddle the baby to prevent spoiling is a misconception. Babies cannot be spoiled by being held and cuddled; in fact, physical affection is crucial for their emotional development.
Choice D rationale:
Using baby talk when talking to a baby is actually beneficial for language development. It helps the baby learn the sounds and rhythms of speech, so this statement also indicates an understanding of effective communication with infants.
Correct Answer is A
Explanation
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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