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) Dehydration:
When the skin remains tented and returns to its normal position slowly after being pinched, it indicates decreased skin turgor, which is a clinical sign of dehydration. Dehydration can occur due to fluid loss from sweating during vigorous physical activity like a beach tournament.
B) Hypervolemia:
Hypervolemia refers to excess fluid volume in the body, which would typically manifest with signs such as peripheral edema or jugular vein distention rather than decreased skin turgor.
C) Properly Hydrated:
Properly hydrated individuals would have normal skin turgor, where the skin returns promptly to its normal position after being pinched.
D) Infection:
Skin tenting is not a specific sign of infection. Infection would typically present with localized signs such as redness, warmth, swelling, and possibly systemic signs like fever.
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.
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