A nurse is providing education for a client who has glaucoma.
Which of the following statements should the nurse include in the teaching?
Without treatment, glaucoma can cause blindness.
Double vision is a common symptom of glaucoma.
Glaucoma is caused by inadequate production of fluid within the eye.
Use of eye drops will improve vision over time.
The Correct Answer is A
Choice A rationale
Without treatment, glaucoma can lead to blindness due to the progressive damage it causes to the optic nerve. Elevated intraocular pressure damages the optic nerve fibers, leading to peripheral vision loss and eventually total blindness if untreated.
Choice B rationale
Double vision is not a common symptom of glaucoma. Instead, glaucoma typically presents with symptoms like gradual peripheral vision loss, eye pain, and halos around lights.
Choice C rationale
Glaucoma is primarily caused by increased intraocular pressure, either due to overproduction of aqueous humor or improper drainage, not inadequate fluid production.
Choice D rationale
Use of eye drops helps to control intraocular pressure but does not improve vision; it helps to prevent further damage to the optic nerve.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
"C" in the ABCDE criteria for assessing skin lesions stands for Color. This criterion refers to the variations in the color of the lesion, which could include shades of black, brown, tan, or even white, red, or blue. Uneven or multiple colors within a single lesion can be a warning sign of melanoma, a type of skin cancer. Regularly checking the color of moles or spots on the skin is crucial for early detection of potential malignancies.
Choice B rationale
Characteristics are not part of the ABCDE criteria. The ABCDE criteria specifically stand for Asymmetry, Border, Color, Diameter, and Evolving. These criteria are used by healthcare professionals to identify suspicious skin lesions that may need further evaluation or biopsy to rule out skin cancer. Focusing on these specific aspects helps in early detection and treatment of malignant skin conditions.
Choice C rationale
Crepitus is a term used to describe a crackling or grating sound or sensation, typically associated with bones or joints, and is not related to skin lesion assessment. Crepitus can be felt or heard in conditions such as arthritis, where the cartilage in the joints has worn away, causing bones to rub against each other. It is unrelated to the ABCDE criteria for skin lesions.
Choice D rationale
Coping methods are strategies used by individuals to manage stress, emotions, or adverse situations and have no relevance to the ABCDE criteria for skin lesions. Coping methods can include techniques like exercise, meditation, or talking to a therapist, but they do not pertain to the physical examination of skin lesions for signs of cancer.
Correct Answer is C
Explanation
Choice A rationale
Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and peripheral vision loss. It does not typically cause central vision loss or the presence of a large black spot in the center of vision.
Choice B rationale
A detached retina often causes the sudden appearance of floaters or flashes of light, and a shadow or curtain effect in the peripheral vision. It does not typically present as a black spot in the center of vision.
Choice C rationale
Macular degeneration is an age-related condition that affects the central part of the retina (macula). It leads to central vision loss, which can manifest as a black or dark spot in the center of vision. This condition progressively impairs the ability to see fine details and perform activities like reading or recognizing faces.
Choice D rationale
Diabetic retinopathy is a complication of diabetes that affects the blood vessels in the retina. It can cause vision changes, such as floaters or blurred vision, but it does not typically present as a large black spot in the center of vision.
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