A nurse is collecting data from a client who has a suspected cataract. The nurse should collect data from which of the following areas to confirm the diagnosis?

Choice A Reason:

Weight loss is not typically associated with acromegaly. Acromegaly is characterized by excessive growth hormone production, leading to the enlargement of bones and tissues. Patients often experience weight gain rather than loss due to increased bone and soft tissue mass.

Choice B Reason:

Exophthalmos, or bulging eyes, is not a common manifestation of acromegaly. This symptom is more commonly associated with Graves’ disease, a thyroid disorder. Acromegaly primarily affects the bones and soft tissues, leading to changes in facial features and extremities.

Choice C Reason:

Thin and fragile hair is not a typical symptom of acromegaly. While hormonal imbalances can affect hair quality, acromegaly is more commonly associated with changes in bone and soft tissue structure. Symptoms like coarse, oily skin and excessive sweating are more characteristic of this condition.

Choice D Reason:

Enlarged hands and feet are hallmark signs of acromegaly. The excessive production of growth hormone leads to the enlargement of bones in the hands, feet, and face. Patients may notice that their rings no longer fit and that their shoe size has increased. This symptom is a key indicator of acromegaly and is often used in the diagnosis of the condition.

Choice A Reason:

Recommending cleaning the ear with cotton swabs daily is not appropriate for managing otitis externa. Using cotton swabs can further irritate the ear canal, potentially worsening the inflammation and increasing the risk of infection. It is generally advised to avoid inserting anything into the ear canal to prevent damage and irritation.

Choice B Reason:

Advising the patient to use over-the-counter ear drops is not the best initial intervention. While some over-the-counter ear drops may provide temporary relief, they are not as effective as prescription topical antibiotics and corticosteroids in treating the underlying infection and inflammation associated with otitis externa. Proper medical treatment is necessary to ensure effective management of the condition.

Choice C Reason:

Administering oral antibiotics is not typically the first-line treatment for uncomplicated otitis externa. Oral antibiotics are reserved for cases where the infection has spread beyond the ear canal or in patients with risk factors for severe infection. Topical antibiotics and corticosteroids are preferred for their direct action on the affected area and fewer systemic side effects.

Choice D Reason:

Administering topical antibiotics and corticosteroids is the most appropriate initial intervention for otitis externa. Topical treatments effectively target the infection and reduce inflammation, providing relief from symptoms such as pain, itching, and discharge. This approach is supported by clinical guidelines and is considered the standard of care for managing otitis externa.