A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?

The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.

." Eye health is an essential aspect of overall health, and many eye disorders and diseases can be asymptomatic. The American Optometric Association (AOA) recommends that adults aged 18-64 should have a comprehensive eye exam at least every two years. After age 65, the frequency of eye exams should be increased, depending on the individual's eye health status. During an eye exam, the optometrist or ophthalmologist evaluates the client's visual acuity, peripheral vision, and intraocular pressure, as well as examines the internal and external structures of the eyes to detect any abnormalities. The assessment of the retina is particularly important as it can reveal the presence of chronic diseases such as diabetes, high blood pressure, and macular degeneration.