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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Deep vein thrombosis (DVT) involves a blood clot in a deep vein, usually in the legs. Symptoms include swelling, pain, and redness, but not typically cold legs or hair loss, making it unlikely in this scenario.
Choice B rationale
Venous insufficiency occurs when veins struggle to send blood back to the heart, leading to varicose veins, swelling, and skin changes. While it can cause leg discomfort, it does not typically result in cold legs or hair loss.
Choice C rationale
Varicosities are enlarged, twisted veins caused by increased pressure. They can cause pain and swelling but not cold legs or hair loss, making them an unlikely cause of the described symptoms.
Choice D rationale
Arterial insufficiency, caused by poor blood flow due to narrowed arteries, results in symptoms such as cold legs, hair loss, pain, and weakened pulses. The description of cold legs and hair loss fits arterial insufficiency, making it the most likely diagnosis.
Correct Answer is C
Explanation
Choice A rationale
Rhonchi are low-pitched, coarse sounds typically heard during expiration, associated with secretions in large airways, not high-pitched continuous sounds.
Choice B rationale
Stridor is a high-pitched sound heard during inspiration, typically indicating upper airway obstruction.
Choice C rationale
Wheezes are continuous high-pitched whistling sounds heard during expiration, common in conditions like chronic obstructive pulmonary disease, where airway narrowing is present.
Choice D rationale
Crackles are discontinuous sounds heard during inspiration, usually associated with fluid in the lungs or alveolar opening, not continuous high-pitched sounds. .
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