A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Gradual loss of peripheral vision
Gradual loss of central vision
Sudden headache and nausea
Cloudy blurred vision
The Correct Answer is A
Choice A reason: Gradual loss of peripheral vision is a characteristic symptom of open-angle glaucoma, which is the most common type of glaucoma. It occurs when the drainage angle of the eye becomes blocked, causing increased intraocular pressure and damage to the optic nerve.
Choice B reason: Gradual loss of central vision is more typical of age-related macular degeneration, which is a condition that affects the macula, the central part of the retina. It is not a symptom of open-angle glaucoma.
Choice C reason: Sudden headache and nausea are signs of acute angle-closure glaucoma, which is a medical emergency that requires immediate treatment. It occurs when the drainage angle of the eye suddenly closes, causing a rapid rise in intraocular pressure and severe pain.
Choice D reason: Cloudy blurred vision is a symptom of cataract, which is a condition that causes the lens of the eye to become cloudy and opaque. It is not a symptom of open-angle glaucoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Fall prevention is the most important safety measure for an elderly client with osteoporosis, as falls can result in fractures and other complications. The nurse should assess the client's risk factors for falls, such as impaired vision, balance, or mobility, and implement interventions to reduce them, such as providing adequate lighting, removing clutter, and using assistive devices.
Choice B reason: Pressure injury prevention is also important for an elderly client, but not as crucial as fall prevention for a client with osteoporosis. Pressure injuries are caused by prolonged pressure on the skin, especially over bony prominences. The nurse should reposition the client frequently, use pressure-relieving devices, and monitor the skin for signs of breakdown.
Choice C reason: Cognitive impairment prevention is not a specific safety measure for an elderly client with osteoporosis, although it may affect the client's ability to follow instructions and adhere to treatment. Cognitive impairment may be caused by various factors, such as dementia, delirium, or medication side effects. The nurse should assess the client's mental status, provide orientation and stimulation, and manage any underlying causes.
Choice D reason: Functional decline prevention is not a specific safety measure for an elderly client with osteoporosis, although it may affect the client's quality of life and independence. Functional decline may be caused by various factors, such as pain, weakness, or depression. The nurse should encourage the client to participate in physical and occupational therapy, promote self-care activities, and provide emotional support.
Correct Answer is A
Explanation
Choice A reason: Weight-bearing exercise, such as walking, jogging, or dancing, helps to strengthen the bones and prevent osteoporosis. It also improves muscle strength, balance, and coordination, which can reduce the risk of falls and fractures.
Choice B reason: Having a bone density scan every year is not necessary for a young adult client who has a family history of osteoporosis. A bone density scan is a test that measures the amount of calcium and other minerals in the bones. It is usually recommended for women over 65 years old, men over 70 years old, or people who have risk factors for osteoporosis, such as low body weight, smoking, or steroid use.
Choice C reason: Taking a magnesium supplement every day is not a proven way to prevent osteoporosis. Magnesium is a mineral that is involved in bone formation and metabolism, but there is not enough evidence to support its role in preventing or treating osteoporosis. A balanced diet that includes foods rich in calcium, vitamin D, and other nutrients is more effective for bone health.
Choice D reason: Drinking a cup of coffee every morning is not a good idea for a young adult client who has a family history of osteoporosis. Coffee contains caffeine, which can interfere with the absorption of calcium and increase the excretion of calcium in the urine. This can lead to lower bone density and higher risk of osteoporosis. Moderate coffee consumption (one or two cups per day) may not have a significant effect on bone health, but excessive coffee intake (more than four cups per day) should be avoided.
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