An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.
What is the most important for the clinic nurse to ask the client?
Do you have any discharge from the eye?
Are all of your immunizations up-to-date?
Have you started any new medications recently?
How frequently do you wash your hands?
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.
Choice B rationale
Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
Choice C rationale
Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.
Choice D rationale
Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Severe life stresses at any age can indeed increase the risk of suicide????. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide. This can include a wide range of stressors, such as relationship problems, financial difficulties, job loss, or serious health issues?.
Choice B rationale
While it is true that socioeconomic disadvantage is associated with higher rates of suicide¹³, it is not accurate to say that suicides predominantly occur in lower socioeconomic groups.
Suicide is a complex issue that can affect individuals across all socioeconomic strata. Factors such as mental health conditions, substance abuse, and access to lethal means also play significant roles¹.
Choice C rationale
Robust social support systems can indeed help prevent suicide¹?¹?¹?¹?¹?. Social support can provide individuals with a sense of belonging, improve their mood and outlook, and reduce feelings of isolation. It can also provide a safety net for individuals in crisis, offering them resources and interventions that can help mitigate suicide risk¹?¹?¹?¹?¹?.
Choice D rationale
The assertion that discussing suicide with individuals suffering from depression can be hazardous is not entirely accurate??[^10^]. While it is crucial to approach such discussions with sensitivity and care, open conversations about suicide can help identify individuals at risk and ensure they receive the help they need. It is essential, however, that these discussions are conducted by trained professionals who can provide appropriate support and referrals??[^10^].
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