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
Intermitent flashes of light
Pain in the eyes
The Correct Answer is B
Cloudy vision is a symptom of cataracts. Cataracts occur when the lens of the eye becomes cloudy, causing visual disturbances such as cloudy or blurry vision.The other options are not typical symptoms of cataracts.
a) Sudden dimmed vision may be a symptom of other eye conditions.
c) Intermitent flashes of light (option c) may be a symptom of other eye conditions such as retinal detachment.
d) Pain in the eyes (option d) is not a typical symptom of cataracts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer and explanation is:
b. "Leave the prosthesis in place when going to bed."
The nurse should instruct the client to leave the prosthesis in place when going to bed. This is because some individuals may need to wear their prosthesis during sleep to maintain body alignment, prevent contractures, and promote independence. However, it is important to note that this instruction may vary depending on the individual's specific situation and the recommendation of their healthcare provider.
Explanation for the other options:
a. "Keep initial pressure dressing in place for 1 week after surgery." After an above-the-knee amputation, the initial pressure dressing is typically removed within the first few days after surgery, and the wound is then managed with appropriate dressings. The specific duration of dressing use may vary based on the surgeon's preference and the healing progress of the wound.
c. "Avoid extension of the hips when lying down." While maintaining proper body positioning and avoiding excessive hip extension is important for individuals with an above-the-knee amputation, this instruction does not specifically address the use of a prosthesis.
d. "Clean the prosthesis using a damp, soapy cloth." Cleaning the prosthesis using a damp, soapy cloth can be a part of routine prosthesis maintenance, but it is important to follow the manufacturer's instructions and any specific guidelines provided by the prosthetist or healthcare provider. The cleaning method may vary depending on the type of prosthesis and materials used.
Correct Answer is B
Explanation
The correct answer is b. "I will apply petroleum jelly to the penis with each diaper change."
Choice A rationale:
- It is incorrect to focus on removing all yellow exudate.A small amount of yellow exudate is normal during the healing process after circumcision.Attempting to aggressively clean it off can irritate the delicate healing tissues and cause discomfort for the baby.
- Instead,parents should gently cleanse the area with warm water during diaper changes,allowing any mild exudate to naturally drain.
Choice B rationale:
- Applying petroleum jelly with each diaper change is an essential step in promoting healing and preventing discomfort after circumcision.Here's why:
- Protects against moisture:Petroleum jelly forms a barrier that protects the delicate healing tissues from moisture from urine and feces.This helps to prevent irritation and keeps the area clean.
- Reduces friction:The lubricating properties of petroleum jelly reduce friction between the penis and the diaper,which can minimize discomfort and pain for the baby.
- Promotes healing:Petroleum jelly creates a moist environment that promotes healing and reduces scab formation.This helps the circumcision site to heal faster and more comfortably.
Choice C rationale:
- While ensuring a proper diaper fit is important for overall hygiene,it's not the most crucial aspect of post-circumcision care.A snug diaper can put unnecessary pressure on the healing penis,potentially causing irritation and discomfort.It's generally recommended to choose a diaper that fits comfortably without being too tight.
Choice D rationale:
- Using soap to wash the penis is not recommended during the healing process.Soap can be harsh and drying to the delicate tissues,potentially causing irritation and delaying healing.
- Warm water is sufficient for cleansing the area during diaper changes.
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