Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris of the lid margins and lashes?
Blepharitis
Retinal detachment
Allergic conjunctivitis
Cataract
The Correct Answer is A
A. Blepharitis is an inflammation of the eyelid margin causing symptoms such as itching, irritation, light intolerance, and crusting.
B. Retinal detachment involves sudden visual disturbances such as flashes of light or a curtain-like shadow, not itching or crusting.
C. Allergic conjunctivitis involves redness, itching, and watery discharge, not crusty debris on the lid margins.
D. Cataracts lead to blurred vision and glare, not irritation or crusting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Allow the client to ambulate is generally acceptable, but should be done cautiously to avoid any strain on the eyes.
B. Remove the eye patch during the day is incorrect as the eye patch is usually kept in place to protect the eye during the early stages of recovery.
C. Encourage coughing and deep breathing should be done with caution as excessive coughing or straining can increase intraocular pressure.
D. After retinal repair surgery, it's important to avoid activities that may increase intraocular pressure or strain the eyes, such as reading and writing. These activities can cause excessive eye movement and stress, hindering the healing process.
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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