In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

Mild headaches

Cloudiness that worsens at night

Severe eye pain

Mild eye pain

Answer and Explanation

The Correct Answer is C

Choice A reason: Mild headaches are not typically associated with increased intraocular pressure. While headaches can accompany eye conditions, they are not as common or specific as severe eye pain in this context.

Choice B reason: Cloudiness that worsens at night could be related to cataracts or other eye conditions but is not a specific manifestation of increased intraocular pressure. Severe eye pain is a more direct indicator of conditions like acute angle-closure glaucoma.

Choice C reason: Severe eye pain is a significant clinical manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma. This condition can lead to sudden, severe eye pain due to the rapid rise in intraocular pressure, which can damage the optic nerve if not treated promptly.

Choice D reason: Mild eye pain may occur in various minor eye conditions but is not as indicative of serious issues like increased intraocular pressure. Severe eye pain is more concerning and requires immediate assessment and intervention.

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Correct Answer is D

Explanation

Choice A reason: A low fiber diet with decreased intake of nuts is not specifically indicated for managing Meniere's disease. Meniere's disease management focuses on fluid balance rather than dietary fiber.

Choice B reason: A low fat diet with a restriction of citrus fruits is not relevant to Meniere's disease. Fat intake and citrus fruits do not directly affect the symptoms or management of this condition.

Choice C reason: A low carbohydrate diet and the elimination of red meats are not standard dietary recommendations for Meniere's disease. The focus is on reducing sodium intake to manage fluid retention and balance.

Choice D reason: A low sodium diet and fluid restriction are key dietary measures for managing Meniere's disease. Reducing sodium intake helps to decrease fluid retention, which can alleviate symptoms such as vertigo and tinnitus associated with this condition.

A. Increased urinary output B. Hyperactive bowel sounds C. Abdominal tenderness/pain D. Bradycardia

Correct Answer is C

Explanation

Choice A reason: Increased urinary output is not a manifestation of peritonitis. Peritonitis affects the peritoneal cavity, leading to abdominal symptoms rather than changes in urinary output.

Choice B reason: Hyperactive bowel sounds can occur in various gastrointestinal conditions but are not specific to peritonitis. Peritonitis typically presents with abdominal pain and tenderness.

Choice C reason: Abdominal tenderness/pain is a key manifestation of peritonitis. Inflammation of the peritoneum causes significant discomfort, and patients may also exhibit signs of infection such as fever and increased white blood cell count.

Choice D reason: Bradycardia is not commonly associated with peritonitis. Peritonitis primarily affects the abdominal cavity and may lead to systemic symptoms like fever and tachycardia, but not typically bradycardia.

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In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The home care nurse is preparing to visit a client diagnosed with Meniere's disease. The nurse reviews the primary health care provider's prescriptions and expects to educate the client on which dietary measure?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which manifestations of peritonitis?

Correct Answer is C

Explanation

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