A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Gradual loss of peripheral vision
Gradual loss of central vision
Sudden headache and nausea
Cloudy blurred vision
The Correct Answer is A
Choice A reason: Gradual loss of peripheral vision is a characteristic symptom of open-angle glaucoma, which is the most common type of glaucoma. It occurs when the drainage angle of the eye becomes blocked, causing increased intraocular pressure and damage to the optic nerve.
Choice B reason: Gradual loss of central vision is more typical of age-related macular degeneration, which is a condition that affects the macula, the central part of the retina. It is not a symptom of open-angle glaucoma.
Choice C reason: Sudden headache and nausea are signs of acute angle-closure glaucoma, which is a medical emergency that requires immediate treatment. It occurs when the drainage angle of the eye suddenly closes, causing a rapid rise in intraocular pressure and severe pain.
Choice D reason: Cloudy blurred vision is a symptom of cataract, which is a condition that causes the lens of the eye to become cloudy and opaque. It is not a symptom of open-angle glaucoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because it shows that the RN understands delegation as a way of managing time effectively. Delegation is the process of assigning tasks to other members of the health care team who are competent and qualified to perform them. By working with the LPN and nursing assistant on dividing up patient care tasks, the RN can ensure that the tasks are done safely, efficiently, and according to the scope of practice of each team member.
Choice B reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Working overtime until everything is finished is not a sustainable or productive strategy, as it can lead to fatigue, burnout, and errors. The RN should prioritize the tasks that are most important and urgent, and delegate the tasks that can be done by others.
Choice C reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Checking to make sure that the tasks are done correctly is part of the supervision and evaluation of delegation, but it is not the main goal of delegation. The main goal of delegation is to optimize the use of resources and skills of the health care team, and to provide quality care to the patients. The RN should trust and respect the abilities of the LPN and nursing assistant, and only intervene if there is a problem or a concern.
Choice D reason: This is not the correct answer because it shows that the RN does not understand delegation as a way of managing time effectively. Completing every nursing intervention or report by the end of the shift is not always possible or realistic, especially in a busy and dynamic health care environment. The RN should focus on the outcomes and quality of care, rather than the quantity of tasks. The RN should also communicate and collaborate with the other members of the health care team, and hand over any unfinished tasks to the next shift.
Correct Answer is D
Explanation
Choice A reason: Identification is a defense mechanism where the person adopts the characteristics or behaviors of someone else, usually someone more powerful or successful, to cope with feelings of inadequacy or insecurity.
Choice B reason: Denial is a defense mechanism where the person refuses to accept or acknowledge the reality of a situation or a problem, to avoid dealing with the negative emotions or consequences.
Choice C reason: Displacement is a defense mechanism where the person transfers their feelings or impulses from the original source to a less threatening or more acceptable one, to reduce the anxiety or guilt.
Choice D reason: Rationalization is a defense mechanism where the person uses logical or plausible explanations to justify or excuse their actions or behaviors, to avoid facing the true motives or reasons.
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