A client with age-related macular degeneration (AMD) is undergoing photodynamic therapy with the medication Verteporfin. What should the nurse include in the discharge teaching for this client?

Avoid foods that are high in vitamin A.

This medication may increase your blood sugar.

Do not take Verteporfin on an empty stomach.

Avoid sunlight and other intense light for the next five days.

Answer and Explanation

The Correct Answer is D

A.   While vitamin A can interact with some medications, it does not have a significant effect on verteporfin.
B.   Verteporfin does not typically affect blood sugar levels.
C.   Verteporfin is usually administered intravenously, so it is not taken orally.
D.   Verteporfin is a photosensitizing agent used in photodynamic therapy for age-related macular degeneration. After treatment with verteporfin, the client should avoid sunlight and other intense light for several days to prevent a severe sunburn-like reaction. This is because verteporfin makes the skin and eyes more sensitive to light.

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Correct Answer is A

Explanation

A. Floaters and flashes of light are classic symptoms of retinal detachment. When the retina begins to detach from the underlying tissue, it can cause these visual disturbances. Floaters are small, shadowy shapes that move across the field of vision, while flashes of light can occur due to the retina being stretched or pulled.
B. Cataracts primarily cause blurred vision, difficulty seeing at night, and sensitivity to light, rather than floaters or flashes of light.
C. AMD generally affects central vision and can cause symptoms such as distorted vision, difficulty seeing in low light, and a loss of central vision. While AMD can cause vision changes, it is not typically associated with seeing floaters and flashes of light.
D. Open-angle glaucoma usually progresses slowly and is often asymptomatic in its early stages. It primarily affects peripheral vision, leading to a gradual loss of vision in the periphery.

A. Increased sensitivity to cold on the affected side B. Drooling from the corner of the mouth on the affected side C. Ringing in the ear on the affected side D. Drooping of the upper lid margin in one eye

Correct Answer is D

Explanation

A. Increased sensitivity to cold is not typically associated with Bell's Palsy or ptosis but might be a general sensation change related to nerve involvement.
B. Drooling from the corner of the mouth is a result of facial weakness affecting the muscles responsible for controlling saliva and mouth closure. While drooling is a common symptom of Bell's Palsy due to impaired muscle control, it is not a description of ptosis. Ptosis specifically refers to the drooping of the upper eyelid.
C. Ringing in the ear, or tinnitus, is not a direct symptom of ptosis. Tinnitus might be associated with various conditions affecting the ear or cranial nerves but is not specifically indicative of ptosis, which is related to eyelid drooping.
D. Ptosis refers to the drooping or sagging of the upper eyelid. In the context of Bell's Palsy, this drooping occurs on the affected side due to weakness or paralysis of the muscles that normally help elevate the eyelid.

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A client with age-related macular degeneration (AMD) is undergoing photodynamic therapy with the medication Verteporfin. What should the nurse include in the discharge teaching for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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