A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

"The pressure in the anterior cavity of your eye became elevated, shifting the position of your lens.

"There's an irregular curvature of your cornea, causing your blurred vision'

The portion of your eye call the macula, which is responsible for the central vision, is damaged"

"Your lens became cloudy, causing blurred vision. This cloudiness will increase over time

Answer and Explanation

The Correct Answer is C

A.   This statement describes glaucoma, not macular degeneration. Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss. It does not specifically pertain to damage of the macula or central vision.
B.   This statement refers to conditions like astigmatism, where the cornea has an irregular shape, leading to blurred vision. It is not relevant to macular degeneration, which involves damage to the retina rather than the curvature of the cornea.
C.   This statement accurately describes macular degeneration. The macula is the part of the retina responsible for sharp central vision, which is crucial for tasks like reading and recognizing faces. In macular degeneration, this area deteriorates, leading to loss of central vision.
D.   This statement describes cataracts, where the lens of the eye becomes cloudy, leading to blurred vision. Cataracts and macular degeneration are distinct conditions, with different causes and impacts on vision.

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Correct Answer is ["A","D"]

Explanation

A. Patients are often advised to avoid straining during bowel movements and bending at the waist to reduce intraocular pressure and the risk of complications after cataract surgery. This is crucial for promoting healing and preventing dislodgement of the lens.
B. While good lighting can be important for safety and visibility, patients are often advised to avoid excessively bright lights or glare, especially after surgery, as it can be uncomfortable and may not be beneficial during the recovery period. Patients may need to use softer lighting to avoid discomfort.
C. After cataract surgery, patients are typically advised to lie on their back or the non-operative side to avoid pressure on the eye that underwent surgery. Lying on the abdomen is not recommended and could pose a risk to the surgical site.
D. Patients are often instructed to avoid heavy lifting for a period after surgery to prevent increased intraocular pressure and potential complications. Lifting more than 15 lbs is generally discouraged during the initial recovery phase.

A. The spouse washes their hands frequently with soap and water. B. The spouse drinks electrolyte solution. C. The spouse prepares lunch for the client. D. The spouse uses a separate tube of toothpaste.

Correct Answer is C

Explanation

A. Frequent handwashing is critical in preventing the spread of infections, especially when one person in the household is ill with gastroenteritis. This practice indicates good hygiene and care for the client.
B. Drinking an electrolyte solution can help the spouse stay hydrated, especially when experiencing frequent loose stools due to gastroenteritis. Staying hydrated is essential for recovery.
C. If the spouse is actively preparing food for the client while having gastroenteritis, there is a risk of contaminating the food, which could lead to the client becoming ill. The client may be more vulnerable to infections, particularly following a stroke, and it is crucial to prevent exposure to any pathogens.
D. This observation is a good practice as it helps prevent the spread of germs. Using separate personal items, like a toothbrush and toothpaste, can minimize the risk of transmitting infections.

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A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

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Naxlex Comprehensive Predictor Exams

The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?

Correct Answer is ["A","D"]

Explanation

The nurse makes a home care visit to a client with a diagnosis of right sided stroke. The client's spouse reports that she was recently diagnosed with gastroenteritis and is having frequent loose stools. The nurse is most concerned with which observation?

Correct Answer is C

Explanation

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