A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts?
Sudden dimmed vision
Cloudy vision
Intermittent flashes of light
Pain in the eyes
The Correct Answer is B
A. Sudden dimmed vision: Sudden dimmed vision may indicate other ocular issues, such as retinal detachment or macular degeneration, but it is not a specific indicator of cataracts.
Cataracts typically cause a gradual clouding of vision.
B. Cloudy vision: Cloudy or blurred vision is a classic symptom of cataracts. Cataracts cause the lens of the eye to become cloudy, leading to vision problems such as difficulty seeing in low light, blurry vision, or seeing halos around lights.
C. Intermittent flashes of light: Intermittent flashes of light are more commonly associated with conditions such as retinal detachment or migraine aura, rather than cataracts.
D. Pain in the eyes: Pain in the eyes is not typically associated with cataracts unless there are complications such as increased intraocular pressure or inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Nitrites negative is a normal finding and does not typically require notification of the provider. Nitrites are usually present in the urine when there is a urinary tract infection.
B. Ketones positive in the urine can indicate diabetic ketoacidosis (DKA), which is a serious condition requiring prompt medical attention. Therefore, the nurse should notify the provider about this result.
C. Uric acid levels can be elevated in conditions such as gout or kidney disease, but the specific value provided is within the normal reference range for a 24-hour urine collection. Therefore, it does not warrant immediate notification.
D. Specific gravity of 1.020 is within the normal range (typically 1.005 to 1.030) and does not usually require notification of the provider.
Correct Answer is D
Explanation
A. Washing the newborn's head under a stream of running water is not recommended, as it could startle the newborn or lead to water entering the ears or eyes. Instead, the head should be washed gently using a damp cloth or sponge.
B. Bathing the newborn within 30 minutes after a feeding is not advisable. This could increase the risk of regurgitation or discomfort during the bath. It is better to bathe the newborn when they are calm and not immediately after feeding.
C. Starting the bath by washing the diaper area first is incorrect. The newborn’s face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.
D. The bath water should be 100 to 103 degrees Fahrenheit, as this is a safe and comfortable temperature for the newborn. It prevents chilling or burns and ensures the bath is soothing for the baby.
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