A nurse is providing teaching for a client who has age-related macular degeneration. Which of the following information should the nurse include in the teaching?
"A possible cause of this problem is a long-term lack of dietary protein."
"You probably have noticed a decline in your central vision
"You probably have a detachment of your retina."
"The doctor can perform surgery to correct this by repairing the folds in your retina."
The Correct Answer is B
Rationale:
A. "A possible cause of this problem is a long-term lack of dietary protein." Age-related macular degeneration (AMD) is not caused by a lack of dietary protein. It is mainly associated with aging, genetics, and environmental factors like smoking, not nutrition alone.
B. "You probably have noticed a decline in your central vision." AMD primarily affects central vision, making it difficult to see fine details, read, or recognize faces. The client will often notice this decline in their central vision.
C. "You probably have a detachment of your retina." Retinal detachment is not a characteristic of AMD. AMD involves damage to the macula, which is the central part of the retina, not a detachment.
D. "The doctor can perform surgery to correct this by repairing the folds in your retina." There is no surgical procedure that "repairs folds" in the retina to correct age-related macular degeneration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Protective environment: Protective environment precautions are used for clients with compromised immune systems (e.g., transplant patients), not for those with bacterial pneumonia caused by Haemophilus influenzae type B.
B. Droplet: Haemophilus influenzae type B is spread through respiratory droplets, so droplet precautions are appropriate. The nurse should wear a mask when within 3 feet of the client to prevent transmission.
C. Airborne: Airborne precautions are used for diseases transmitted through small particles in the air, such as tuberculosis or measles, but are not necessary for Haemophilus influenzae type B, which is droplet-transmitted.
D. Contact: Contact precautions are used for infections spread by direct or indirect contact with the patient or their environment, such as Clostridium difficile or MRSA, but not for Haemophilus influenzae type B pneumonia.
Correct Answer is A
Explanation
Rationale:
A. Hematochezia: The passage of fresh blood in the stool, is a common symptom of colon cancer, especially when the tumor is located in the lower colon or rectum. Results from bleeding from the tumor and should be monitored in clients with a new diagnosis.
B. Elevated haemoglobin: An elevated hemoglobin level is not typical in colon cancer. Colon cancer often leads to chronic blood loss, which can cause anemia and result in a low hemoglobin level rather than an elevated one.
C. Weight gain: Weight loss, rather than weight gain, is more commonly seen in clients with colon cancer due to decreased appetite, malabsorption, or the metabolic effects of the cancer. Weight gain is not a typical finding associated with colon cancer.
D. Steatorrhea: Steatorrhea, or fatty stools, is more commonly associated with pancreatic or biliary disease rather than colon cancer. While colon cancer can cause digestive disturbances, steatorrhea is not typically expected.
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