A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.

Hypertension

Family history

Obesity

Wearing sunglasses

Increasing age

Answer and Explanation

Correct Answer : A,B,C,E

A. Hypertension has been associated with an increased risk of cataract development due to vascular changes that may affect the eye’s lens.
B. A family history of cataracts increases an individual's risk, as there may be a genetic predisposition to developing the condition.
C. Obesity is linked to cataracts, possibly due to metabolic effects that affect lens clarity over time.
E. Increasing age is a well-established risk factor for cataracts, as natural aging processes lead to changes in lens transparency.
D. Wearing sunglasses protects against UV exposure, which can lower the risk of cataracts, making it a preventive measure rather than a risk factor.

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

Explanation

A. Elevating the head of the bed to 30-45 degrees helps facilitate venous drainage from the brain, thereby reducing ICP.
B. Administering intravenous fluids rapidly is not appropriate, as it can lead to fluid overload and increase ICP.
C. Keeping the client in a calm and quiet environment minimizes stimulation, which can contribute to increased ICP.
D. Administering morphine sulfate as prescribed can provide pain relief, which may help decrease ICP since pain can contribute to increased intracranial pressure.
E. The Valsalva maneuver increases intrathoracic pressure and can lead to increased ICP, making it contraindicated in this scenario.

A. Diplopia B. Ataxia C. A change in the Glasgow Coma Scale score from 13 to 11 D. A decrease in heart rate from 76 to 69 bpm

Correct Answer is C

Explanation

A. Diplopia is a concerning symptom but does not indicate immediate deterioration in neurological status like a change in GCS does.
B. Ataxia is also significant but is less acute than a drop in GCS score.
C. A change in the Glasgow Coma Scale score from 13 to 11 indicates a worsening level of consciousness and necessitates immediate reporting, as it may suggest increased intracranial pressure or other complications.
D. A decrease in heart rate from 76 to 69 bpm is not significant enough in the context of TBI to warrant immediate reporting, as it remains within a normal range.

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A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is demonstrating signs of increasing intracranial pressure (ICP). The nurse recognizes that which nursing actions are indicated to decrease ICP?

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

Explanation

A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?

Correct Answer is C

Explanation

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A nurse is preparing information about eye health for a community health fair. Which of the following information related to risk factors for cataracts should the nurse include? SELECT ALL THAT APPLY.