An adult client who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client?

Wear prescription glasses.

Eat a diet high in carotene.

Maintain prescribed eye drop regimen.

Avoid frequent eye pressure measurements.

Answer and Explanation

The Correct Answer is C

C. In glaucoma management, the use of topical eye drops to reduce intraocular pressure is a cornerstone of treatment. These medications work to decrease fluid production in the eye or increase fluid drainage, thereby lowering IOP and reducing the risk of optic nerve damage and vision loss. Adherence to the prescribed eye drop regimen is crucial for controlling IOP and preventing further vision deterioration.
A. While wearing prescription glasses may be important for correcting vision problems, such as nearsightedness or farsightedness, they do not directly address the underlying issue of increased intraocular pressure associated with glaucoma.
B. While maintaining a healthy diet rich in nutrients, including carotene, is important for overall eye health, there is no evidence to suggest that it directly affects the progression of glaucoma or intraocular pressure.
D. Regular monitoring of intraocular pressure is an essential part of managing glaucoma. Frequent eye pressure measurements help assess the effectiveness of treatment and detect any changes in intraocular pressure that may indicate progression of the disease.

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Correct Answer is D

Explanation

D Initiating IV access with two large bore catheters allows for rapid administration of medications and fluids as needed. Additionally, reviewing the inclusion criteria for IV fibrinolytic therapy is crucial to determine if the client is eligible for this time-sensitive intervention.
Fibrinolytic therapy aims to dissolve blood clots and restore blood flow to the brain, potentially reducing the extent of neurological deficits and improving outcomes in ischemic stroke.
A While laboratory tests such as prothrombin time and platelet count may be important for assessing coagulation status and ruling out bleeding disorders, they are not the priority in the immediate management of a suspected stroke
B Aspirin is commonly used for secondary prevention of ischemic stroke, but its administration in the acute phase of a suspected stroke depends on the specific clinical scenario and treatment guidelines. Aspirin may be contraindicated if IV fibrinolytic therapy is being considered or if the type of stroke is hemorrhagic.
C Elevating the affected limb may be beneficial in certain neurological conditions to reduce swelling or edema, but it is not the priority intervention in the immediate management of a suspected stroke.

A. Hematocrit. B. Platelet count. C. White blood cell (WBC) count. D. Blood pH level.

Correct Answer is C

Explanation

C. The WBC count assesses the number of white blood cells in the blood, which are key components of the immune system involved in fighting infection. An elevated WBC count (leukocytosis) may indicate an inflammatory response to infection, including bacterial colonization or superinfection of burn wounds.
A. The hematocrit measures the proportion of red blood cells in the blood and is used to evaluate for anemia or dehydration.
B. The platelet count measures the number of platelets in the blood and is used to assess for bleeding disorders or clotting abnormalities.
D. While changes in blood pH may occur in response to severe burn injuries, it is not typically the primary laboratory value assessed to determine the presence of infection.

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An adult client who was recently diagnosed with glaucoma tells the nurse, "It feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?

Correct Answer is C

Explanation

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