During an assessment, the nurse notices clouding of the lens of the left eye, and the client reports blurred and hazy vision in the eye. These findings suggest which of the following?

Otosclerosis

Cataracts

Presbycusis

Glaucoma

Answer and Explanation

The Correct Answer is B

A. Otosclerosis: Otosclerosis refers to abnormal bone growth in the middle ear, leading to hearing loss, not vision problems. It affects hearing, not the eyes, and does not cause blurred or hazy vision.

B. Cataracts: Cataracts occur when the lens of the eye becomes clouded, leading to blurred or hazy vision, which is exactly what the client is describing. The clouding of the lens is a hallmark sign of cataracts, which typically cause gradual vision loss over time.

C. Presbycusis: Presbycusis is age-related hearing loss, not a visual issue. It typically manifests as difficulty hearing high-frequency sounds and is not associated with blurred vision or clouding of the lens.

D. Glaucoma: Glaucoma is characterized by increased intraocular pressure, which can lead to vision loss, but it typically causes peripheral vision loss, not blurred or hazy vision. The clouding of the lens described here is more indicative of cataracts than glaucoma.

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Correct Answer is B

Explanation

A. stage 4 pressure injury: A stage 4 pressure injury involves full-thickness skin and tissue loss with exposed bone, tendon, or muscle, which is beyond subcutaneous tissue damage. These wounds may also include undermining or tunneling and carry a high risk for infection.

B. stage 3 pressure injury: Stage 3 pressure injuries involve full-thickness skin loss that extends into the subcutaneous tissue but does not expose bone, tendon, or muscle, aligning with the description of the wound. This stage may also include slough, undermining, or tunneling.

C. stage 2 pressure injury: A stage 2 injury involves partial-thickness skin loss with exposure of the dermis, typically presenting as a shallow open ulcer, not reaching subcutaneous layers. It may also appear as an intact or ruptured serum-filled blister.

D. stage 1 pressure injury: Stage 1 is characterized by non-blanchable erythema of intact skin without any tissue loss or damage to deeper layers.

A. Bargaining B. Depression C. Anger D. Denial

Correct Answer is D

Explanation

A. Bargaining: This stage involves attempting to negotiate or make deals, often with a higher power, in hopes of delaying or reversing the outcome. The client’s statement does not reflect this behavior.

B. Depression: This is a deeper emotional stage where the person begins to feel the true weight of their diagnosis. It may involve withdrawal, sadness, or hopelessness—not disbelief.

C. Anger: Anger manifests as frustration or resentment towards others or the situation. The client is not showing anger but rather disbelief.

D. Denial: Denial is the initial stage of grief where the client refuses to accept the reality of the diagnosis, often expressing disbelief or shock as a coping mechanism to protect themselves emotionally.

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During an assessment, the nurse notices clouding of the lens of the left eye, and the client reports blurred and hazy vision in the eye. These findings suggest which of the following?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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