A nurse is planning care for an older adult client.
The nurse should plan to monitor the client for which of the following?
Widened peripheral vision.
Increase in accommodation to near vision.
Eyes with large pupils.
Infections of the eye.
The Correct Answer is B
Choice A rationale:
Widened peripheral vision. This choice is not an expected change in an older adult's vision. As individuals age, peripheral vision may diminish, but it doesn't typically widen. Therefore, this choice is not appropriate.
Choice C rationale:
Eyes with large pupils. Older adults often experience changes in the size of their pupils due to the aging process. Pupils may become smaller and less responsive to light, not larger. Thus, this choice is not accurate.
Choice D rationale:
Infections of the eye. While eye infections can occur in any age group, there's no specific reason to monitor an older adult for eye infections unless there are signs or symptoms suggesting an issue. It's not a routine aspect of care for older adults. Now, let's discuss the rationale for the correct answer, choice B:
Choice B rationale:
Increase in accommodation to near vision. This is the correct answer because it is a common age-related change in vision known as presbyopia. As individuals age, their ability to accommodate or focus on near objects diminishes. This change typically begins in the early 40s and progresses over time. It's a result of the lens of the eye becoming less flexible. Older adults may need reading glasses or bifocals to improve their near vision. The nurse should plan to monitor for this change as part of routine care for an older adult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "I will be asked to identify different sensations, such as sharp or dull," indicates an understanding of the teaching on tactile testing. This choice demonstrates knowledge about the purpose and nature of the test, which involves identifying various sensations, including sharp or dull, to assess the client's sensory perception. The client's response aligns with the expected outcome of the teaching, showing comprehension.
Choice B rationale:
The statement, "Small needles will be inserted into one of my muscles," is not an accurate description of tactile testing. Tactile testing typically involves assessing the client's ability to perceive sensations on their skin, such as sharpness, dullness, temperature, or pressure. Inserting needles into muscles is not a part of this test, so this choice does not indicate an understanding of the teaching.
Choice C rationale:
The statement, "A dye is injected into my vein during this test," is not related to tactile testing. Tactile testing does not involve injecting dye into veins. This response suggests a misunderstanding of the purpose and procedure of the test, so it is not the correct choice.
Choice D rationale:
The statement, "I will be asleep during this test," is not consistent with tactile testing. Tactile testing is a sensory assessment that requires the client to be awake and actively participate in identifying sensations. This response indicates a lack of understanding of the test, and it is not the correct choice.
Correct Answer is C
Explanation
Choice A rationale:
Dysphagia is a difficulty or discomfort with swallowing and is not a complication of diverticulitis. Diverticulitis typically involves inflammation or infection of diverticula in the colon and may present with symptoms such as abdominal pain, fever, and changes in bowel habits, but dysphagia is not a characteristic feature.
Choice B rationale:
Ulcerative colitis is a distinct inflammatory bowel disease and is not a complication of diverticulitis. These conditions have different causes and affect different parts of the digestive tract. While both conditions can cause abdominal discomfort, they are not directly related.
Choice C rationale:
Peritonitis is a potential complication of diverticulitis. When diverticula become infected and rupture, they can spill their contents into the abdominal cavity, leading to peritonitis, which is an inflammation of the peritoneum (the lining of the abdominal cavity). This condition can be life-threatening and requires prompt medical intervention.
Choice D rationale:
Crohn's disease is a separate inflammatory bowel disease and is not a complication of diverticulitis. Crohn's disease can affect any part of the digestive tract, whereas diverticulitis typically occurs in the colon. They have distinct clinical features and treatment approaches. .
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.