Mr. Roberts, a 65-year-old male. presents to the emergency department with sudden onset of severe pain in his right eye. blurred vision, seeing halos around lights, nausea, and vomiting. His right eye is red the cornea appears cloudy, and his intraocular pressure is elevated. What is the most likely diagnosis?

Conjunctivitis

Acute angle-closure glaucoma

Retinal detachment

Migraine with aura

Answer and Explanation

The Correct Answer is B

A. Conjunctivitis. Conjunctivitis generally presents with redness and discharge but does not cause elevated intraocular pressure, severe pain, or visual disturbances like halos.

B. Acute angle-closure glaucoma. Acute angle-closure glaucoma is characterized by sudden severe eye pain, blurred vision, halos around lights, nausea, and vomiting, along with elevated intraocular pressure and a cloudy cornea.

C. Retinal detachment. Retinal detachment may cause sudden vision loss or flashing lights but typically lacks pain, nausea, or vomiting, and does not affect intraocular pressure.

D. Migraine with aura. A migraine with aura may cause visual disturbances but does not present with eye pain, red eye, or elevated intraocular pressure.

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Correct Answer is D

Explanation

A. Mild wheezing: Mild wheezing can be a common symptom in COPD and does not immediately indicate a severe complication unless it worsens suddenly.

B. Fatigue and general malaise: Fatigue and malaise are often chronic in COPD and do not necessarily indicate an acute complication.

C. Increased sputum production: While increased sputum could suggest an infection, it is not the most urgent sign of a severe complication.

D. Sudden onset chest pain and dyspnea: Sudden chest pain and dyspnea are concerning for a pneumothorax or pulmonary embolism, both of which are potential complications in COPD and require immediate attention.

A. Encourage the client to walk on the injured ankle to promote circulation. B. Immerse the ankle in want water immediately after the in C. Apply ice to the affected ankle for the first 24-72 hours. D. Perform deep tissue massage on the injured area to reduce pain.

Correct Answer is C

Explanation

A. Encourage the client to walk on the injured ankle to promote circulation. Weight-bearing activities should be avoided initially after a Grade II sprain to prevent further injury.

B. Immerse the ankle in warm water immediately after the injury. Ice, rather than warmth, is recommended immediately following an injury to reduce swelling and inflammation.

C. Apply ice to the affected ankle for the first 24-72 hours. Applying ice for 24-72 hours helps reduce swelling and pain by causing vasoconstriction and controlling inflammation in the acute phase.

D. Perform deep tissue massage on the injured area to reduce pain. Massaging a newly sprained ankle can aggravate inflammation and cause additional tissue damage.

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Naxlex Comprehensive Predictor Exams

A patient with a history of COPD Is being monitored for potential complications. Which of the following findings should the nurse report immediately as it may indicate the development of a complication?

Correct Answer is D

Explanation

A client presents the emergency department with a Grade II ankle sprain. Which of the following interventions should the nurse implement?

Correct Answer is C

Explanation

A 45-year-old male patient complaints of chronic stomach pain and is diagnosed with a Helicobacter pylori infection. The physician decided to initiate triple therapy. Which combination of medications is most appropriate for this treatment?

A patient is diagnosed with Brown-Sequard syndrome after a spinal cord injury. Which of the following symptoms should the nurse expect?

A patient with Syndrome of Inappropriate Antidiuretic Hormone (SIADH) may present with which of the following symptoms?

The nurse is providing home care instructions to a client with hepatitis. Which of the following should be included in the teaching?

A patient presents to the emergency department with a high fever, chills, chest pain worsened by deep breathing, and a cough producing rusty-colored sputum. Which of the following diagnostic tests is most likely to confirm the nurse's suspicion of pneumonia?

The nurse is providing discharge teaching to patient with infective endocarditis. Which of the following statements by the patient indicates a need for further teaching?

The nurse is educating a patient with diabetes about long-term complications of the disease. Which of the following complications should the nurse include in the teaching?