During a health history, a 48-year-old client states, "I've noticed that I need to hold my newspaper farther away so that I can read it." Which of the following would the nurse suspect?
Presbyopia
Cataracts
Tropia
Myopia
The Correct Answer is A
A) Presbyopia: Presbyopia is an age-related condition where the lens of the eye loses elasticity, making it harder to focus on close objects. This condition typically begins to affect individuals around the age of 40, causing them to hold reading materials farther away to see them clearly. The client's complaint aligns perfectly with this common symptom of presbyopia.
B) Cataracts: Cataracts involve the clouding of the eye's lens, leading to overall blurry vision, glare, and difficulty with night vision. Although cataracts can interfere with reading, they do not specifically cause the need to hold reading materials farther away, which is more indicative of presbyopia.
C) Tropia: Tropia is a type of strabismus where one eye deviates from normal alignment, leading to symptoms like double vision or eye strain. This condition affects how the eyes coordinate but does not typically cause the specific symptom of needing to hold reading materials farther away.
D) Myopia: Myopia, or nearsightedness, results in clear vision for close objects but blurry vision for distant objects. The client's issue of needing to hold reading materials farther away to see clearly is inconsistent with myopia, which would cause difficulty with distant vision instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Obesity II:
A Body Mass Index (BMI) of 37 falls within the range of 35 to 39.9, which is classified as Obesity Class II according to the World Health Organization (WHO) BMI categories. This classification indicates a higher risk of obesity-related health conditions and complications.
B) Overweight:
The overweight category corresponds to a BMI range of 25 to 29.9. A BMI of 37 is significantly higher than this range, indicating a more severe level of excess weight and associated health risks.
C) Normal weight:
Normal weight is defined by a BMI range of 18.5 to 24.9. A BMI of 37 is well above this range, indicating that the patient has excess body weight far beyond what is considered normal.
D) Obesity:
While the term "obesity" generally refers to a BMI of 30 or higher, specific classes of obesity (Class I, II, and III) are defined for more precise categorization. A BMI of 37 specifically places the patient in the Obesity II category.
Correct Answer is D
Explanation
A) Electrical cords are placed along the walls: While it is important to ensure that electrical cords are safely managed, cords placed along the walls are less likely to pose a tripping hazard compared to those that are left loose or run across walking paths. This setup, in itself, is generally not a significant safety risk if managed properly.
B) Handrails are present in the bathroom: Handrails in the bathroom are actually a safety feature, not a risk. They provide necessary support for older adults with decreased vision or mobility issues, helping to prevent falls when using the toilet or getting in and out of the bathtub or shower.
C) Uses a microwave for cooking: Using a microwave for cooking is generally considered safe for individuals with decreased vision, as it minimizes the risk of burns and other injuries associated with using a stove or oven. The microwave can be a safer cooking method if the client is familiar with its operation.
D) Scatter rugs are present in the kitchen: Scatter rugs are a significant safety risk, especially for older adults with decreased vision. These rugs can easily cause trips and falls, leading to potentially serious injuries. Removing scatter rugs or securing them with non-slip backing can help mitigate this risk and create a safer home environment.
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