A 20-year-old male patient with a known history of hemophilia A is brought to the emergency department with swelling and pain in his right knee after a minor fall. Which of the following is the most appropriate initial nursing intervention?

Choice A Reason:

The statement “If I forget to take my eye drops, I should wait until the next time they are due” is incorrect. For chronic open-angle glaucoma, it is important to take eye drops as prescribed to maintain consistent intraocular pressure control. If a dose is missed, the patient should take it as soon as they remember, unless it is almost time for the next dose. Skipping doses can lead to fluctuations in eye pressure, which can worsen the condition.

Choice B Reason:

The statement “Every two years I will need to have my vision checked by an eye doctor” is not accurate. Patients with chronic open-angle glaucoma typically need more frequent monitoring, often every 3 to 6 months, depending on the severity of the condition and the stability of their intraocular pressure. Regular check-ups are crucial for adjusting treatment and preventing vision loss.

Choice C Reason:

The statement “I should call the clinic before taking any over-the-counter medications” indicates an understanding of the teaching. Some over-the-counter medications can affect intraocular pressure or interact with glaucoma medications. Consulting with a healthcare provider before taking new medications helps ensure that they do not interfere with glaucoma management.

Choice D Reason:

The statement “When my vision improves, I will be able to stop taking the eye drops” is incorrect. Glaucoma is a chronic condition that requires ongoing treatment to manage intraocular pressure and prevent further damage to the optic nerve. Stopping medication can lead to a rapid increase in eye pressure and potential vision loss.

Choice A Reason:

Increased appetite is not typically associated with anemia. Anemia generally leads to symptoms related to decreased oxygen-carrying capacity of the blood, such as fatigue, weakness, and shortness of breath. Increased appetite is more commonly linked to other conditions, such as hyperthyroidism or certain metabolic disorders.

Choice B Reason:

Fatigue is a common and significant symptom of anemia. When hemoglobin levels are low, the body’s tissues do not receive adequate oxygen, leading to feelings of tiredness and exhaustion. This is because hemoglobin is responsible for transporting oxygen from the lungs to the rest of the body. In anemia, the reduced oxygen delivery results in decreased energy levels and persistent fatigue.

Choice C Reason:

Weight gain is not typically associated with anemia. In fact, some forms of anemia, such as those caused by chronic diseases or malnutrition, may lead to weight loss rather than gain. Weight gain can be associated with other health issues, such as hypothyroidism or fluid retention, but not directly with anemia.

Choice D Reason:

Hypertension is not a common manifestation of anemia. Anemia usually leads to symptoms like pallor, shortness of breath, and fatigue due to the reduced oxygen-carrying capacity of the blood. Hypertension, or high blood pressure, is more commonly associated with cardiovascular diseases, kidney disorders, or endocrine conditions.