Exhibits

The client was given oxygen, sublingual nitroglycerin, and aspirin. After one dose of nitroglycerin, the client's pain decreased to a reported 2 on a 0 to 10 scale with squeezing pain. The client was admitted for observation and percutaneous coronary intervention (PCI) to be completed later within the evening. The client asks the nurse to explain why a PCI is being completed.
 

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If healthcare providers see a narrowed heart vessel while performing a percutaneous coronary intervention (PCI), they may perform a balloon angioplasty to compress the plaque against the vessel wall and hold it there with a stent, which will lessen

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A. Schedule regular appointments to measure eye pressures: In glaucoma, elevated intraocular pressure (IOP) can damage the optic nerve over time. Regular monitoring allows for early detection of pressure changes and helps guide treatment adjustments, reducing the risk of vision loss.

B. Maintain a diet high in vegetables, particularly carotene: While a healthy diet supports general eye health, there is no strong evidence that high-carotene foods directly prevent the progression of glaucoma. Nutritional choices are supportive but not a substitute for medical management.

C. Meticulously follow regimen for administrating prescribed eye drops: Consistent use of prescribed eye drops, such as prostaglandin analogs or beta-blockers, helps lower IOP and slows optic nerve damage. Adherence is critical in preventing disease progression and potential blindness.

D. Avoid excessive eye strain by limiting computer screen time: Eye strain may cause discomfort or fatigue but does not impact intraocular pressure or glaucoma progression. Limiting screen time is unrelated to preventing blindness in this context.

E. Report any changes in visual perception immediately: Glaucoma often progresses silently until advanced stages. Prompt reporting of symptoms such as halos, peripheral vision loss, or blurring allows for timely evaluation and intervention, helping to preserve remaining vision.

A. A 25-year-old dark-skinned client whose mother had skin cancer: Although a family history may increase genetic susceptibility, darker skin provides more natural protection against ultraviolet (UV) radiation. The risk from heredity alone is lower compared to cumulative environmental exposure in high-risk skin types.

B. A 65-year-old fair-skinned client who is a construction worker: This client has multiple risk factors for skin cancer—advanced age, fair complexion, and prolonged cumulative sun exposure due to outdoor work. UV radiation is the primary environmental cause of skin cancer, and occupational exposure significantly elevates lifetime risk, especially in individuals with low melanin protection.

C. A 70-year-old fair-skinned client who works as a secretary: Although age and fair skin are risk factors, working indoors most of the time greatly limits UV exposure. Without significant cumulative sun exposure, this client's risk remains lower than someone exposed to direct sunlight daily.

D. A 16-year-old dark-skinned client who tans in tanning beds once a week: Tanning bed use increases skin cancer risk, particularly melanoma, but this client’s young age, darker skin and less frequent exposure reduce immediate susceptibility compared to an older, fair-skinned individual with chronic sun exposure. However, the behavior is still concerning and warrants health education.