A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate that the client needs to be seen for further evaluation by an ophthalmologist?

Acute pain, change in visual acuity, and foreign body sensation.

Frequent burning, irritation and tearing of the eyes.

Bilateral itchy, red eyes with watery discharge.

Diminished ability to focus on close work and excessive illumination required.

Answer and Explanation

The Correct Answer is A

Rationale:
A. Acute pain, change in visual acuity, and foreign body sensation: These symptoms are concerning and require immediate ophthalmologic evaluation. Subconjunctival hemorrhages are usually benign and painless, so the presence of pain, vision changes, and foreign body sensation suggests a more serious underlying ocular injury or pathology.

B. Frequent burning, irritation and tearing of the eyes: These symptoms are commonly associated with dry eye syndrome or minor irritations. While uncomfortable, they do not typically indicate an urgent need for specialist referral unless severe or persistent.

C. Bilateral itchy, red eyes with watery discharge: This presentation is most consistent with allergic conjunctivitis. Although it may warrant treatment, it is not typically emergent and does not usually require urgent evaluation by an ophthalmologist.

D. Diminished ability to focus on close work and excessive illumination required: These are classic signs of presbyopia, an age-related decline in near vision. Presbyopia is a gradual process and not an emergency that requires immediate referral for urgent evaluation.

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Free Nursing Study Resources

Correct Answer is ["40"]

Explanation

Number of packs smoked per day: 2

Number of years the client has smoked at this rate: 20 years

Calculate the pack-years

Pack-years = (Number of packs smoked per day) x (Number of years smoked)

= 2 packs/day x 20 years

= 40

A. Paresthesia reported. B. Circulation impaired. C. Inflammation present. D. Reports feeling "on fire."

Correct Answer is A

Explanation

Rationale:
A. Paresthesia reported: Paresthesia refers to abnormal sensations like burning, tingling, or numbness, typically due to nerve irritation or damage. Documenting it as "paresthesia reported" is clinically accurate, concise, and uses appropriate medical terminology to communicate the client’s symptom in the EMR.

B. Circulation impaired: Impaired circulation could cause symptoms like coldness, pallor, or numbness, but burning sensations more commonly suggest nerve involvement rather than vascular insufficiency. Labeling it as circulation impairment would not precisely reflect the client’s described symptom.

C. Inflammation present: Inflammation could cause redness, warmth, and swelling, but it is not the primary interpretation of a burning sensation unless there are visible signs of inflammatory response. Without objective evidence, assuming inflammation would be inaccurate documentation.

D. Reports feeling "on fire.": While documenting exact quotes can sometimes be valuable, using clear medical terminology in routine EMR documentation is preferred. "Paresthesia reported" professionally communicates the symptom while maintaining clinical clarity and avoiding subjective descriptions.

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A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate that the client needs to be seen for further evaluation by an ophthalmologist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse determines that a male client has smoked 2 packs of cigarettes daily for the past 20 years. In calculating his smoking history, how many pack-years should be documented for this client? (Enter numeric value only.)

Correct Answer is ["40"]

Explanation

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Correct Answer is A

Explanation

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