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. Incorrect. While clients have rights to access their medical records, ownership of the actual record typically remains with the healthcare provider or facility.
B. Correct. The HIPAA Privacy Rule mandates that a client's medical information remains confidential and protected, even during emergencies or when disclosed to other healthcare providers for treatment purposes.
C. Incorrect. In most cases, access to a deceased client's medical records is restricted to authorized individuals, such as next of kin or legal representatives, and is subject to privacy laws. D. Incorrect. While clients have the right to view their medical records under HIPAA, this statement does not specifically address the confidentiality aspect of the Privacy Rule.
Correct Answer is A
Explanation
A. Correct. An oil-based lubricant is used to facilitate the insertion of the nasogastric tube through the nasal passages into the stomach.
B. Incorrect. An enteric feeding pump is not necessary for nasogastric tube insertion for gastric decompression. It is used for enteral feeding, not tube insertion.
C. Incorrect. While sterile gloves are important for maintaining aseptic technique during the procedure, they are not specific to nasogastric tube insertion and decompression.
D. Incorrect. pH strips are used to measure the acidity or alkalinity of a substance and are not typically needed for nasogastric tube insertion for gastric decompression.
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