A nurse is teaching a client who has herpes simplex virus type 2 about disease transmission.
Which of the following statements by the client indicates understanding of the teaching?

Choice A rationale

Eye drops for glaucoma primarily work to lower intraocular pressure and slow the progression of the disease. They do not reverse existing vision loss or improve vision over time. Glaucoma-related vision loss is typically permanent due to damage to the optic nerve.

Choice B rationale

Glaucoma is usually characterized by an increase in intraocular pressure due to a blockage of the outflow of aqueous humor or overproduction of aqueous humor, not inadequate production. This elevated pressure damages the optic nerve over time, leading to vision loss.

Choice C rationale

Double vision, or diplopia, is not a typical symptom of glaucoma. Common symptoms of glaucoma include gradual peripheral vision loss, blurred vision, halos around lights, and eye pain (especially in acute angle-closure glaucoma).

Choice D rationale

Glaucoma is a progressive eye disease that damages the optic nerve. If left untreated, the increased intraocular pressure can lead to significant and irreversible vision loss, eventually resulting in blindness. Early detection and consistent treatment are crucial to prevent this outcome.

Choice A rationale

A grey colored, non-purpuric papular rash is not a typical dermatological manifestation of systemic lupus erythematosus. SLE is often associated with erythematous rashes due to inflammation and immune complex deposition in the skin. Purpura indicates bleeding under the skin, which is not characteristic of the lupus rash.

Choice B rationale

Subcutaneous nodules on the ulnar side of the arm are more commonly associated with rheumatoid arthritis or gout, not systemic lupus erythematosus. SLE primarily affects connective tissues and can cause various skin manifestations, but subcutaneous nodules are not a hallmark finding.

Choice C rationale

A dry, red rash across the bridge of the nose and on the cheeks, often described as a "butterfly rash" or malar rash, is a classic and highly specific finding in patients with systemic lupus erythematosus. This rash is caused by photosensitivity and inflammation in the facial skin.

Choice D rationale

Pitting edema of the hands and fingers is not a primary finding directly associated with systemic lupus erythematosus. While SLE can cause renal involvement leading to fluid retention and edema, localized pitting edema in the hands and fingers is less typical and might suggest other underlying conditions.