A client has been diagnosed with age-related macular degeneration (AMD). Which change in vision would the nurse expect a client with AMD to report?

Loss of central vision and distortion of lines

Floaters and flashes of light

Cloudy vision and glaring of lights

Loss of peripheral vision

Answer and Explanation

The Correct Answer is A

A.   AMD affects the macula, which is responsible for central vision and fine detail. As the condition progresses, patients often experience a gradual loss of central vision, which can make it difficult to read, recognize faces, and perform tasks that require sharp vision. Distortion of straight lines (metamorphopsia) is also common, where straight lines may appear wavy or bent.
B.   Floaters and flashes of light are more commonly associated with conditions affecting the vitreous body of the eye or retinal detachment, rather than AMD. These symptoms can occur due to changes in the vitreous gel or as a result of other retinal issues, but they are not the primary symptoms of AMD.
C.   Cloudy vision and glare are typically associated with cataracts, not AMD. Cataracts cause the lens of the eye to become cloudy, leading to blurred vision and increased sensitivity to glare. AMD does not cause the lens to cloud, so these symptoms are not characteristic of AMD.
D.   Loss of peripheral vision is more characteristic of glaucoma rather than AMD. AMD primarily affects central vision, leaving peripheral vision relatively intact until the disease progresses to an advanced stage. Glaucoma, on the other hand, often leads to a gradual loss of peripheral vision.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Laparoscopic splenectomy involves the surgical removal of the spleen. The spleen is an organ where platelets are often destroyed in ITP. Removing the spleen can reduce the destruction of platelets and potentially improve platelet counts. This procedure is considered when medical therapy fails to adequately control the condition and is often effective in increasing platelet counts for many patients with chronic ITP.
B. Transfusion of platelets is generally not effective in ITP because the underlying problem is that the platelets are being destroyed by the immune system. Platelet transfusions may provide a temporary increase in platelet count but do not address the underlying cause of platelet destruction.
C. ADAMTS-13 is a von Willebrand factor-cleaving protease associated with thrombotic thrombocytopenic purpura (TTP), not ITP. Replacement of ADAMTS-13 is relevant for treating TTP, a different condition that also involves thrombocytopenia but has a different pathophysiology.
D. Protamine sulfate is used to reverse the effects of heparin, an anticoagulant. It is not used to treat ITP and does not affect platelet destruction or platelet count. This procedure is not relevant to the management of ITP.

A. Black, tarry stool B. Clay-colored stool C. Watery stool D. Bright red blood in the stool

Correct Answer is A

Explanation

A. Black, tarry stool is indicative of blood that has been digested in the upper GI tract. The dark color is due to the action of digestive enzymes on blood.
B. Clay-colored stool is typically associated with biliary obstruction, not upper GI bleeding.
C. Watery stool can be caused by various conditions, including infections, inflammatory bowel diseases, and medications. It is not a specific indicator of upper GI bleeding.
D. Bright red blood in the stool is more likely to be associated with lower GI bleeding, such as from hemorrhoids or anal fissures.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client has been diagnosed with age-related macular degeneration (AMD). Which change in vision would the nurse expect a client with AMD to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelet count remains low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?

Correct Answer is A

Explanation

The nurse is collecting a stool specimen from a client. What stool characteristic indicates to the nurse that the client may have an upper gastrointestinal (GI) bleed?

Correct Answer is A

Explanation

A nurse is caring for a client who has a diagnosis of Cushing syndrome. After performing magnetic resonance imaging (MRI), the underlying cause of the condition is found to be hyperplasia of the adrenal glands. Which of the following lab results would the nurse anticipate with this condition?

A nurse is caring for a client who has inflammation of the glomeruli which was discovered by a routine urinalysis. The nurse understands that which of the following autoimmune disorders can cause chronic glomerulonephritis?

A nursing student preparing for his first clinical rotation must receive a hepatitis B vaccination series prior to attending clinicals. The nursing student understands that this is

A nurse is preparing to administer heparin 2,000 units by IV bolus. Available is heparin injection 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The patient is admitted with upper GI bleeding following an episode of forceful vomiting due to excessive alcohol intake. The nurse suspects a Mallory-Weiss tear. Which of the following is true of a Mallory-Weiss tear?

A nurse is assessing a client who has chronic kidney disease and notes that the client has small crystals on his forehead. The nurse understands that this manifestation is a result of an excess of which substance in the body?

The nurse is performing an admission assessment on a client who is being admitted for right- sided heart failure. Which statement made by the patient would be consistent with right-sided heart failure?