The nurse is performing an admission assessment on a client with a diagnosis of detached retina.
Which of the following is associated with this eye disorder?
Sharp, stabbing acute pain in the affected eye.
Total loss of vision.
A curtain-like loss of vision in the affected eye.
Yellow discoloration of the sclera.
The Correct Answer is C
Choice A rationale
Detached retina typically does not present with sharp, stabbing pain. Instead, patients experience painless symptoms like vision abnormalities due to separation of the retina from supporting tissue.
Choice B rationale
Total vision loss is rare with a detached retina unless extensive damage occurs. Partial visual disruption, such as curtain-like vision loss, is a hallmark symptom.
Choice C rationale
A curtain-like loss of vision arises from retinal detachment, disrupting visual fields as the retina separates from its vascular supply and neural connections.
Choice D rationale
Yellow sclera discoloration is associated with jaundice due to bilirubin accumulation, unrelated to retinal detachment pathology, which affects visual symptoms and not scleral appearance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hemiparesis on the right side and ataxia are common manifestations of left-sided stroke, where the motor cortex affecting the contralateral side is impaired, leading to muscle weakness and coordination loss.
Choice B rationale
Spasticity of the left arm suggests motor impairment on the ipsilateral side, which is inconsistent with the nature of left-sided strokes affecting the contralateral side. Apraxia lacks relation to motor loss here.
Choice C rationale
Impulsive behavior and hostility are more indicative of frontal lobe involvement, not motor loss secondary to left-sided strokes. These behaviors do not represent motor manifestations.
Choice D rationale
Visual defects like homonymous hemianopia and diplopia may occur in stroke but are not direct indicators of motor loss. They relate to occipital lobe or optic pathway damage.
Correct Answer is B
Explanation
Choice A rationale
The frontal lobe controls executive functions like reasoning and planning, not object identification errors. Damage here leads to issues with decision-making and voluntary movement, not misidentification of objects.
Choice B rationale
The temporal lobe processes auditory information and object recognition. Injury disrupts the brain's ability to associate visual stimuli with correct labels, causing errors like calling a pen "a key.”.
Choice C rationale
The parietal lobe processes sensory information related to touch, pain, and spatial awareness. Damage causes difficulty with spatial relations and perception but doesn't typically involve visual misidentification.
Choice D rationale
The occipital lobe handles visual processing. Damage affects vision or visual interpretation but does not impair the recognition or labeling of objects directly.
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