A patient presents to the emergency department with a complaint of sudden, severe pain to the left eye, nausea, and seeing halos around lights. The nurse suspects primary angle-closure glaucoma. The nurse anticipates that in order to relieve intraocular pressure, the patient should be prepared for which of the following procedures?

Phacoemulsification

Extracapsular cataract extraction

Cochlear implant

Surgical iridectomy

Answer and Explanation

The Correct Answer is D

A.   Phacoemulsification is a procedure used to remove cataracts from the eye. It involves using ultrasound waves to break up the cloudy lens (cataract) into small fragments, which are then suctioned out. While this procedure is relevant for cataract treatment, it does not address the acute management of angle-closure glaucoma.
B.   Extracapsular cataract extraction is a surgical procedure to remove a cataract from the eye by making an incision and extracting the lens in one piece or in large segments. Like phacoemulsification, this procedure is focused on cataract removal and does not directly treat the underlying issue of acute angle-closure glaucoma.
C.   A cochlear implant is a device used to provide a sense of sound to individuals with severe hearing loss or deafness. This procedure is unrelated to the treatment of eye conditions or intraocular pressure and therefore is not appropriate for managing primary angle-closure glaucoma.
D.   Surgical iridectomy is a procedure specifically aimed at treating angle-closure glaucoma. It involves creating a small hole (iridectomy) in the peripheral iris to allow aqueous humor to flow from the posterior chamber of the eye to the anterior chamber, bypassing the obstructed drainage angle.

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Correct Answer is D

Explanation

A. MS is an autoimmune disorder affecting the central nervous system, not the kidneys.
B. MG is an autoimmune disorder affecting the neuromuscular junction, not the kidneys.
C. GBS is an autoimmune disorder affecting the peripheral nervous system, not the kidneys.
D. SLE is a systemic autoimmune disorder that can affect multiple organs, including the kidneys. Glomerulonephritis is a common complication of SLE.

A. A client who has hypertension and is taking amlodipine B. A client who has COPD and has been on frequent courses of prednisone C. A client with atrial fibrillation who is taking warfarin D. A client who is Caucasian and has had multiple child

Correct Answer is B

Explanation

A. Amlodipine is a calcium channel blocker used to manage hypertension. It is not associated with an increased risk of osteoarthritis. While hypertension itself is a health concern, amlodipine does not directly contribute to the development of OA.
B. Prednisone is a corticosteroid that can lead to various side effects, including bone loss and osteoporosis with long-term use. Although osteoporosis and OA are different conditions, long-term use of corticosteroids can potentially increase the risk of joint issues and contribute to the development or exacerbation of OA due to the impact on joint cartilage and bone density.
C. Warfarin is an anticoagulant used to prevent blood clots in atrial fibrillation. It is not directly associated with an increased risk of osteoarthritis. The primary concerns with warfarin involve bleeding risks rather than joint health.
D. Being Caucasian and having multiple children do not directly contribute to an increased risk of osteoarthritis.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has inflammation of the glomeruli which was discovered by a routine urinalysis. The nurse understands that which of the following autoimmune disorders can cause chronic glomerulonephritis?

Correct Answer is D

Explanation

Which of the following clients is at a higher risk of developing osteoarthritis?

Correct Answer is B

Explanation

A client who received a kidney transplant 3 months ago is in the nephrologists office for a follow up appointment. Which finding would indicate that the client is experiencing a complication which is common after a kidney transplant?

A client who is receiving chemotherapy for breast cancer is experiencing myelosuppression as a side effect of the treatment. Which of the following is a manifestation directly related to myelosuppression?

A nursing student preparing for his first clinical rotation must receive a hepatitis B vaccination series prior to attending clinicals. The nursing student understands that this is

Which medication is commonly used in the treatment of multiple sclerosis?

A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?

A nurse is providing education to a group of older adults about the signs and symptoms of a myocardial infarction. Which of the following is not a sign of a myocardial infarction?

A nurse is caring for a patient with a diagnosis of sepsis who is on a ventilator in the intensive care unit. To reduce the risk of developing a physiologic stress ulcer, the nurse should anticipate an order to administer which medication?

A nurse is assigned to care for a client on a medical-surgical unit. Exhibits Complete the following sentence by using the list of options. Based on the information provided, the client is likely experiencing which is caused by