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 D
Explanation
Choice A rationale
While the upper outer quadrant can be prone to injury and calcifications, this is not the primary reason for its importance in breast examinations. Calcifications can occur in various parts of the breast and are often detected through mammography rather than physical examination.
Choice B rationale
Suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast. They attach to the skin and the underlying pectoral fascia. However, these ligaments are distributed throughout the breast and are not confined to the upper outer quadrant.
Choice C rationale
The upper outer quadrant is not the largest quadrant of the breast. All quadrants have relatively similar sizes. Therefore, the size of the quadrant is not the reason for its importance in breast examinations.
Choice D rationale
The upper outer quadrant of the breast is the most common location for breast tumors. This is because a significant portion of the breast tissue, including the axillary tail (an extension of breast tissue into the armpit), is located in this quadrant. Therefore, careful examination of this area is crucial for early detection of breast cancer.
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.
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