A nurse is assessing a client who has vision impairment related to acute angle-closure glaucoma. Which of the following manifestations should the nurse expect?
A yellowed sclera
Brisk pupil reactivity
Client reports a curtainlike obstruction over the visual field
Client reports seeing colored halos around lights
The Correct Answer is D
A) A yellowed sclera:
A yellowed sclera is typically associated with jaundice, which is related to liver conditions, not acute angle-closure glaucoma. This symptom is not indicative of glaucoma.
B) Brisk pupil reactivity:
In acute angle-closure glaucoma, the pupil is often mid-dilated and sluggish to react to light due to increased intraocular pressure. Brisk pupil reactivity is not a characteristic finding in this condition.
C) Client reports a curtainlike obstruction over the visual field:
A curtainlike obstruction over the visual field is usually associated with retinal detachment, not acute angle-closure glaucoma. This description does not align with the symptoms of glaucoma.
D) Client reports seeing colored halos around lights:
Seeing colored halos around lights is a classic symptom of acute angle-closure glaucoma. This occurs due to the elevated intraocular pressure affecting the corneal surface and causing light diffraction. This manifestation is a key indicator of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "You should remain on a clear liquid diet for 1 week after surgery.": After a laparoscopic cholecystectomy, clients do not need to remain on a clear liquid diet for a week. They can usually progress to a regular diet as tolerated, starting with light meals and avoiding fatty, greasy foods initially to prevent discomfort.
B) "Avoid showering for 1 week after surgery.": Clients are typically allowed to shower within a day or two after surgery, as long as they avoid soaking the incisions in water and follow the healthcare provider's instructions for incision care. Avoiding showering for a week is generally unnecessary and may hinder hygiene.
C) "Cleanse the incision sites with hydrogen peroxide.": Hydrogen peroxide can delay wound healing and is not recommended for routine incision care. The nurse should advise the client to cleanse the incision sites with mild soap and water and pat them dry.
D) "Apply heat to the right shoulder for pain.": Applying heat to the right shoulder can help relieve referred pain often experienced after a laparoscopic cholecystectomy due to residual gas used during the procedure. This is a common and effective method for managing postoperative discomfort.
Correct Answer is A
Explanation
A) "I can add lean turkey to a salad.": Lean turkey is a good source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. Including iron-rich foods like lean turkey in the diet helps address iron-deficiency anemia effectively.
B) "I should choose apples over strawberries.": Apples are not particularly high in iron compared to strawberries. While apples provide some nutrients, strawberries contain more vitamin C, which enhances iron absorption from other foods.
C) "I can take an iron supplement with milk to enhance the effect.": Milk and other dairy products can inhibit iron absorption due to their calcium content. It is recommended to take iron supplements with vitamin C-rich beverages like orange juice to enhance absorption.
D) "I should consume coffee or tea with my meals.": Coffee and tea contain compounds like polyphenols that can inhibit iron absorption when consumed with meals. It's better to avoid these beverages around meal times to improve iron absorption.
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