A nurse is collecting data from a client related to changes in vision. Which of the following statements indicates that the client might be developing a cataract?

"I can't see anything from the sides of my eyes."

"My vision is almost gone from the center part of my eye."

"My contact lenses just don't fit like they used to."

"l keep seeing flashes of lights moving around in my eye."

Answer and Explanation

The Correct Answer is B

A. "I can't see anything from the sides of my eyes." This statement suggests a visual field deficit, which may be indicative of conditions affecting peripheral vision, such as glaucoma, retinal detachment, or optic nerve disorders. It is not a typical symptom of cataracts.

B. "My vision is almost gone from the center part of my eye." This statement indicates a central visual impairment, which is a common symptom of cataracts. Cataracts cause clouding of the lens, leading to blurred or dimmed vision, especially in the center of the visual field. This symptom often progresses gradually over time.

C. "My contact lenses just don't fit like they used to." This statement suggests discomfort or fit issues with contact lenses and is not specifically indicative of cataracts. It may be related to changes in the shape or health of the cornea, conjunctiva, or tear film.

D. "I keep seeing flashes of lights moving around in my eye." Flashes of light in the visual field are not typical symptoms of cataracts. They may indicate other ocular conditions such as vitreous detachment, migraines with aura, or retinal disorders.

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Correct Answer is ["A","B","C"]

Explanation

Answer: A, B, and C

Rationale: A) Falls: Falls are a leading cause of traumatic brain injuries (TBIs) across all age groups, especially among older adults and young children. Falls can occur due to various factors such as slipping, tripping, or accidents from heights.

B) Violence: Acts of violence, including assaults, gunshot wounds, and domestic abuse, are significant contributors to TBIs. These traumatic events can result in head injuries with varying degrees of severity, depending on the force and nature of the trauma.

C) Sports-related injuries: Participation in contact sports or activities with a risk of collision or impact, such as football, soccer, or cycling, can lead to TBIs. Athletes may experience concussions or more severe head injuries during games or practice sessions.

D) Working as a firefighter: While occupations like firefighting can expose individuals to hazardous situations, including fires and building collapses, they are not typically cited as primary causes of TBIs. However, firefighters may face head injury risks while performing their duties, especially during rescue operations or structural collapses.

E) Working in a factory: While accidents in industrial settings can lead to various injuries, including head trauma, they are not among the primary causes of TBIs. However, workers in factories or industrial environments may face risks associated with machinery accidents, falling objects, or workplace incidents.

A. "l should not drive while taking this new medication." B. "This new medication may decrease my sex drive." C. "This medication can make me have mood swings." D. "l may have frequent hiccups while taking this medication." E. "l may have urinary incontinence while taking this medication."

Correct Answer is ["A"]

Explanation

A. "I should not drive while taking this new medication."

Carvedilol is a beta blocker commonly prescribed for conditions like cardiomyopathy. One of the potential side effects of beta blockers, including carvedilol, is dizziness or drowsiness. These effects can occur, particularly when starting the medication or when the dosage is increased. Therefore, it's crucial for patients to understand that they may experience these symptoms and should avoid activities that require alertness, such as driving or operating heavy machinery, until they are aware of how the medication affects them. This precaution helps ensure their safety and the safety of others on the road.

B. "This new medication may decrease my sex drive."

Sexual dysfunction, including decreased libido or erectile dysfunction, is a recognized side effect of beta blockers like carvedilol. These medications can affect the autonomic nervous system and interfere with normal sexual function in some individuals. It's essential for patients to be aware of this potential side effect and to discuss any concerns with their healthcare provider. Open communication about sexual health can help address any issues that arise and explore alternative treatment options if necessary.

C. "This medication can make me have mood swings."

While mood changes are possible side effects of some medications, including certain classes of antidepressants or corticosteroids, they are not typically associated with beta blockers like carvedilol. Beta blockers primarily affect the cardiovascular system by blocking the effects of adrenaline, leading to decreased heart rate and blood pressure. While some patients may experience fatigue or depression as a side effect of beta blockers, mood swings are not a common manifestation. Therefore, this statement does not accurately reflect the potential side effects of carvedilol.

D. "I may have frequent hiccups while taking this medication."

While gastrointestinal side effects such as nausea, vomiting, or diarrhea are possible with carvedilol, frequent hiccups are not a commonly reported side effect of this medication. Hiccups, though often benign, can occasionally be bothersome or indicative of an underlying issue. However, they are not typically associated with beta blockers like carvedilol. Therefore, this statement does not accurately reflect the potential side effects of the medication.

E. "I may have urinary incontinence while taking this medication."

Urinary incontinence is a potential side effect of beta blockers like carvedilol. These medications can affect bladder function by relaxing the smooth muscle of the bladder and urethra, leading to urinary retention or incontinence in some individuals. Patients should be aware of this possibility and discuss any urinary symptoms with their healthcare provider. Depending on the severity of the symptoms, adjustments to the medication regimen or additional treatments may be necessary to manage urinary incontinence effectively.

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A nurse is collecting data from a client related to changes in vision. Which of the following statements indicates that the client might be developing a cataract?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching? (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is ["A"]

Explanation

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