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

Answer and Explanation

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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Correct Answer is C

Explanation

A. "Wear compression stockings daily." is not specifically related to preventing diabetic complications of the eyes and kidneys.
B. "Examine your feet carefully every day." is important for preventing diabetic foot ulcers but is not directly related to preventing retinopathy and nephropathy.
C. Maintaining stable blood glucose levels is the most effective way to prevent complications like retinopathy and nephropathy in clients with diabetes mellitus. Consistently high blood glucose levels can lead to damage to blood vessels in the eyes and kidneys.
D. "Have an eye examination once per year." is important, but maintaining stable blood glucose levels is the most effective long-term prevention strategy.

A. Encourage the client to use his right hand when feeding himself. B. Provide a nonskid mat to alleviate plate movement. C. Encourage the use of the wide grip utensils. D. Remind the client to look for food on the left side of the tray.

Correct Answer is D

Explanation

A. Encourage the client to use his right hand when feeding himself: This would be inappropriate since the patient likely has impaired vision in the left field.
B. Provide a nonskid mat to alleviate plate movement: This may be helpful for safety, but it does not address the visual deficit.
C. Encourage the use of wide grip utensils: This may assist with fine motor skills but doesn't directly help with vision problems.
D. Remind the client to look for food on the left side of the tray: This is important because homonymous hemianopsia affects one visual field, and the nurse should encourage the patient to scan their environment to locate food.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long- term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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