Which initial clinical manifestation would a patient report with a retinal detachment?

Seeing flashes of light and floaters

Severe pain when moving the eyes

Increased glare with artificial light

Redness of the conjunctiva

Answer and Explanation

The Correct Answer is A

A.   Flashes of light and floaters are common early symptoms of retinal detachment as the retina begins to pull away from the underlying tissue.
B.   Retinal detachment is usually painless; pain with eye movement is more associated with other eye conditions.
C.   Increased glare is not typically associated with retinal detachment but may occur in cataracts.
D.   Redness is usually a sign of conjunctivitis, not retinal detachment.

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Correct Answer is C

Explanation

A. Nicardipine is a calcium channel blocker used for blood pressure management, not for decreasing ICP.
B. Dopamine is used for shock or hypotension but does not address ICP.
C. Mannitol is an osmotic diuretic used to decrease ICP by drawing fluid out of the brain and reducing swelling.
D. Phenytoin is an anticonvulsant used to prevent seizures, but it does not directly affect ICP.

A. Maintain the patient in a flat, supine position B. Restrain the patient in bed. C. Reduce the patient's environmental stimuli as much as possible D. Increase the patient's fluid intake

Correct Answer is C

Explanation

A. A flat supine position is not recommended for patients with meningitis; they should be kept at a 30- degree angle to reduce ICP.

B. Restraining the patient is unnecessary unless there is an immediate risk of harm, and it can cause distress.
C. Reducing environmental stimuli helps minimize discomfort and risk of seizures, especially in meningitis, which causes hypersensitivity to light and sound.
D. Fluid intake should be monitored carefully. Excessive fluids may increase ICP in a patient with meningitis.

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Which initial clinical manifestation would a patient report with a retinal detachment?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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