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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale:

A. "Once I take this for a while, I won't need my inhaler anymore." Montelukast is a maintenance medication not a rescue medication. Clients will still need their inhalers for acute asthma attacks, as montelukast is used to prevent symptoms, not provide immediate relief.

B. "I'll take this medication every day, even when I don't have symptoms." Montelukast is meant to be taken daily to prevent asthma symptoms. Taking it consistently, even when symptoms aren't present, helps reduce inflammation and prevent asthma attacks.

C. "I'll take this medication to stop wheezing when I have an attack." Montelukast is not a fast-acting medication and doesn't stop acute wheezing during an asthma attack. Short-acting bronchodilators like albuterol are used for immediate relief during an asthma attack.

D. "I'll make sure I take these tablets on an empty stomach." Montelukast can be taken with or without food, and it does not require an empty stomach. There are no specific instructions regarding food intake, so it can be taken as prescribed at any time of day.

A. "I can have a total of 4 grams of sodium each day." B. "I will weigh myself at different times of the day to monitor fluid retention." C. "I should be able to have a conversation while exercising." D. "I should take ibuprofen for a headache."

Correct Answer is C

Explanation

Rationale:

A. "I can have a total of 4 grams of sodium each day." For clients with heart failure, sodium intake is typically restricted to 2 grams per day to prevent fluid retention and exacerbation of symptoms. 4 grams per day exceeds the recommended.

B. "I will weigh myself at different times of the day to monitor fluid retention." The client should weigh themselves at the same time each day, ideally in the morning after voiding. Weighing at different times can lead to inconsistencies.

C. "I should be able to have a conversation while exercising." Clients with heart failure are encouraged to exercise at a moderate level that allows them to converse comfortably, which helps ensure they are not overexerting themselves and risking heart failure exacerbation.

D. "I should take ibuprofen for a headache." Ibuprofen is contraindicated for clients with heart failure because it can cause fluid retention and negatively impact kidney function. Acetaminophen is a safer alternative for pain relief in these clients.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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