A nurse is assisting with the admission of an older adult client. Which of the following subjective findings suggests that the client may have cataracts?
Sudden dimmed vision
Cloudy vision
Intermittent flashes of light
Pain in the eyes
The Correct Answer is B
A. Sudden dimmed vision: Sudden dimmed vision may indicate other ocular issues, such as retinal detachment or macular degeneration, but it is not a specific indicator of cataracts.
Cataracts typically cause a gradual clouding of vision.
B. Cloudy vision: Cloudy or blurred vision is a classic symptom of cataracts. Cataracts cause the lens of the eye to become cloudy, leading to vision problems such as difficulty seeing in low light, blurry vision, or seeing halos around lights.
C. Intermittent flashes of light: Intermittent flashes of light are more commonly associated with conditions such as retinal detachment or migraine aura, rather than cataracts.
D. Pain in the eyes: Pain in the eyes is not typically associated with cataracts unless there are complications such as increased intraocular pressure or inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging the client to talk about current events may not be effective, as individuals with Alzheimer's disease may have difficulty following complex conversations or remembering recent events.
B. Giving directions using simple phrases is essential for effective communication with individuals who have Alzheimer's disease. Using clear, concise language helps reduce confusion and frustration and improves the client's ability to understand and follow instructions.
C. Orienting the client to time and place twice per day can be helpful for some individuals with Alzheimer's disease, but the frequency and method of orientation may vary depending on the client's specific needs and preferences. It may not be necessary to orient the client twice per day in all cases.
D. While it's important to provide consistent care to clients with Alzheimer's disease, rotating assistive personnel frequently may lead to confusion and distress for the client. Consistency and familiarity with caregivers can help establish trust and improve the client's sense of security.
Correct Answer is A
Explanation
A. An elevated serum calcium level (hypercalcemia) can indicate a complication of total parenteral nutrition, such as hypercalcemia resulting from excess calcium supplementation in the
TPN solution, which can lead to complications such as renal calculi and cardiac dysrhythmias.
B. The blood urea nitrogen (BUN) level within the normal range does not indicate a complication related to total parenteral nutrition.
C. The serum potassium level within the normal range does not indicate a complication related to total parenteral nutrition.
D. A normal white blood cell (WBC) count does not indicate a complication related to total parenteral nutrition.
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