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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The host in the epidemiological triangle is the organism that harbors the disease. In the case of a mumps outbreak among school-age children, the host is the children themselves. The virus (choice C) is the agent that causes the disease, and the vaccine (choice D) is a means of preventing the disease. The school (choice A) is not the host, but it may be the environment where the disease is spreading.
Correct Answer is A
Explanation
Explanation: Lyme disease is a reportable disease that requires notification to state and local health departments. The state health department is responsible for voluntary reporting of the cases to the Centers for Disease Control and Prevention (CDC). Health care providers, including nurses, are required by law to report certain communicable diseases, such as Lyme disease, to the state or local health department. The CDC uses these reports to track the spread of the disease, provide information to the public, and develop prevention and control strategies. The state health department also collaborates with the local health department and health care providers to conduct investigations and implement control measures to prevent the spread of the disease.
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