The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Decrease fluid intake to control the intraocular pressure.

Decrease the amount of salt in the diet.

Eye medications will need to be administered for life.

Avoid overuse of the eyes.

Answer and Explanation

The Correct Answer is C

a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.

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Correct Answer is C

Explanation

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

A. "Tonometry will allow inspection of the optic disc for signs of degeneration." B. "This test will diagnose the type of your glaucoma." C. "Tonometry is performed to evaluate peripheral vision." D. "This test will measure the intraocular pressure of the eye."

Correct Answer is D

Explanation

a) "Tonometry will allow inspection of the optic disc for signs of degeneration." Tonometry measures intraocular pressure (IOP) but does not provide direct information about the optic disc.
b) "This test will diagnose the type of your glaucoma."Tonometry measures IOP, but additional tests, such as visual field testing and optic disc examination, are needed to diagnose the type of glaucoma.
c) "Tonometry is performed to evaluate peripheral vision."Tonometry measures intraocular pressure, not peripheral vision. Visual field testing is used to assess peripheral vision.
d) "This test will measure the intraocular pressure of the eye." Tonometry is used to measure intraocular pressure, which is a key factor in diagnosing and managing glaucoma.

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The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?