A nurse is monitoring a client post-hypophysectomy. Which assessment finding is most important to report to the health care provider?

Choice A reason: Chronic open-angle glaucoma is a gradual condition that usually progresses without noticeable symptoms until significant vision loss has occurred. It is characterized by the gradual buildup of pressure within the eye, but it does not present with sudden, severe symptoms.

Choice B reason: Retinal detachment presents with symptoms such as flashes of light, floaters, and a curtain-like shadow over the field of vision, but it does not typically cause severe pain or pressure in the eyes.

Choice C reason: Cataracts cause blurred vision and decreased visual acuity but develop slowly over time and do not cause sudden severe eye pain or extreme pressure.

Choice D reason: Acute angle-closure glaucoma is characterized by sudden, severe eye pain, blurred and decreased visual acuity, and increased intraocular pressure. This condition is a medical emergency that requires immediate treatment to prevent permanent vision loss.

Choice A reason: Lying on the side with the head of the bed at 30 degrees may provide some comfort but is not the most effective position for easing breathing in COPD patients. Sitting upright allows for better lung expansion.

Choice B reason: Sitting on the edge of the bed with the arms supported is known as the tripod position. This position helps patients with COPD breathe more easily by allowing the diaphragm to move more freely and reducing the work of breathing.

Choice C reason: Laying in a supine position with arms crossed is not beneficial for COPD patients. This position can restrict lung expansion and make breathing more difficult.

Choice D reason: Sleeping in a prone position with legs elevated is not recommended for COPD patients. It can further restrict breathing and is uncomfortable for patients with respiratory issues.