A client with a new diagnosis of glaucoma is concerned about going blind. To help prevent blindness due to glaucoma, the nurse should instruct the client to implement which action(s)? Select all that apply.

Avoid excessive eye strain by limiting computer screen time.

Meticulously follow the regimen for administering prescribed eye drops.

Report any changes in visual perception immediately.

Maintain a diet high in vegetables, particularly carotene.

Schedule regular appointments to measure eye pressures.

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Limiting computer screen time is good general advice but is not specific to preventing blindness from glaucoma.

Choice B reason:

The correct answer is b) because following the prescribed regimen for eye drops helps manage intraocular pressure, which is crucial for preventing optic nerve damage in glaucoma.

Choice C reason:

The correct answer is c) because reporting any changes in vision can help detect progression of glaucoma early and allow for timely intervention.

Choice D reason: Maintaining a diet high in vegetables is good for overall health but is not directly related to preventing blindness from glaucoma.

Choice E reason:

The correct answer is e) because regular eye pressure checks help monitor the effectiveness of treatment and prevent progression of glaucoma.

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Correct Answer is C

Explanation

Choice A reason: Increasing the frequency of BP assessments is important to monitor the client's condition, but it does not address the potential cause of the drop in blood pressure.

Choice B reason: Encouraging the client to breathe deeply is useful for overall respiratory function but does not address the specific issue of the dropping blood pressure.

Choice C reason:

The correct answer is c) because checking the abdominal surgical dressing can help identify if there is postoperative bleeding or other complications at the surgical site, which could be causing the drop in blood pressure.

Choice D reason: Reviewing the client's baseline BP trends provides useful information but does not address the immediate potential cause of the blood pressure change.

A. Decreased weeping of ulcerations in affected areas. B. Reduced pain in eczematous areas. C. Healing with a return to normal skin appearance. D. Hydration of affected dry skin areas.

Correct Answer is D

Explanation

Choice A reason: Decreased weeping of ulcerations is not the primary expected therapeutic response of urea cream.

Choice B reason: Reduced pain is beneficial but not the primary expected response of urea cream.

Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response of urea cream.

Choice D reason:

The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for managing eczema.

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A client with a new diagnosis of glaucoma is concerned about going blind. To help prevent blindness due to glaucoma, the nurse should instruct the client to implement which action(s)? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?

Correct Answer is C

Explanation

A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

Correct Answer is D

Explanation

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?

A client with a new diagnosis of glaucoma is concerned about going blind. To help prevent blindness due to glaucoma, the nurse should instruct the client to implement which action(s)? Select all that apply.

The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?

The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the nurse document?

A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?