A nurse is caring for a patient diagnosed with cataracts. What cue is consistent with this diagnosis during the inspection of the eyes?

pupil constriction

cloudiness in the iris

redness in the sclera

cloudiness in the lens

Answer and Explanation

The Correct Answer is D

A) Pupil constriction: Pupil constriction (miosis) is not a typical sign of cataracts. Cataracts usually cause blurred or cloudy vision due to the clouding of the lens. Pupil constriction may occur in other conditions, such as in response to certain medications or neurological changes, but it is not associated with cataracts.

B) Cloudiness in the iris: The iris is the colored part of the eye that controls the size of the pupil. While cataracts affect vision, they typically involve the lens rather than the iris. Cloudiness in the iris could indicate other conditions, such as inflammation or infection, but it is not a characteristic of cataracts.

C) Redness in the sclera: Redness in the sclera (the white part of the eye) is usually caused by irritation, infection, or injury, such as conjunctivitis or subconjunctival hemorrhage. It is not a typical sign of cataracts, which primarily affect the lens and do not typically cause changes to the sclera.

D) Cloudiness in the lens: Cataracts are characterized by the clouding of the lens, which can result in blurry, hazy, or diminished vision. This cloudiness is visible during an eye examination, typically as a white or grayish opacity in the lens. This is the most consistent finding with cataracts.

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Correct Answer is C

Explanation

A) Allergic conjunctivitis: Allergic conjunctivitis typically presents with symptoms such as itching, redness, and watery discharge, but the discharge is usually clear, not thick and sticky. It is caused by an allergic reaction and usually does not involve the white, thick, sticky drainage that is described in the question. Itching is a hallmark symptom, but it doesn't typically cause thick drainage.

B) Cataracts: Cataracts involve clouding of the eye’s lens, leading to blurry vision or difficulty seeing, but they do not cause redness, itching, or thick sticky drainage in the conjunctiva sac. Cataracts are a lens problem, not an issue with the conjunctiva, and would not present with the symptoms described in the question.

C) Bacterial conjunctivitis: Bacterial conjunctivitis is characterized by redness, thick, white or yellowish sticky discharge, and often causes itching or discomfort. The discharge is typically thick and can cause the eyelids to stick together, especially upon waking. This condition matches the symptoms described and is a common eye infection caused by bacteria like Staphylococcus aureus or Streptococcus pneumoniae.

D) Viral conjunctivitis: Viral conjunctivitis also causes redness and watery discharge, but the discharge tends to be thin and watery, not thick and sticky like bacterial conjunctivitis. Viral conjunctivitis often involves symptoms like tearing, irritation, and a more watery, clear discharge, and is typically associated with upper respiratory symptoms. It does not match the description of thick, white, sticky drainage.

A. 3+ B. 2+ C. 1+ D. 4+

Correct Answer is B

Explanation

A) 3+: A 3+ tonsil grading indicates that the tonsils are enlarged and occupy more than 75% of the lateral dimension of the oropharynx. The description provided in the question indicates that the tonsils occupy more than 50% but less than 75% of the space, so a 3+ grade is too large to match this description.

B) 2+: A 2+ tonsil grading indicates that the tonsils are enlarged and occupy between 50% and 75% of the lateral dimension of the oropharynx. This matches the description in the question, where the tonsils are smooth, pink, and occupy more than 50% but less than 75% of the space.

C) 1+: A 1+ tonsil grading refers to tonsils that are small and occupy less than 25% of the lateral dimension of the oropharynx. This would not be consistent with the findings described in the question, where the tonsils are larger and occupy a greater proportion of the oropharynx.

D) 4+: A 4+ tonsil grading indicates that the tonsils are extremely enlarged and occupy more than 75% of the lateral dimension of the oropharynx. This would be a much larger size than described in the question. Therefore, a 4+ grading is not appropriate here.

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A nurse is caring for a patient diagnosed with cataracts. What cue is consistent with this diagnosis during the inspection of the eyes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the eyes on a patient and during the inspection the conjunctiva sac is red, Itchy, and white thick sticky drainage. Which finding are these consistent with?

Correct Answer is C

Explanation

A nurse is assessing a patient's mouth and identifies the tonsiis as smooth pink and occupying more than 50% but less than 75% of the lateral dimension of the oropharynx. What grade for the tonsils should the nurse document?

Correct Answer is B

Explanation

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