The daughter of an elderly client diagnosed with macular degeneration asks the nurse to explain this disorder.
In formulating a response, the nurse would include information that this condition is characterized by which of the following?

Separation of the retina from the choroid.

Peripheral vision loss and seeing halos around light.

Complaints of severe pain and pressure in the eye.

Central vision loss with intact peripheral vision.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Separation of the retina from the choroid, also known as retinal detachment, is a different condition altogether. Retinal detachment can cause vision loss but is not related to macular degeneration. This condition often requires immediate medical attention to prevent permanent vision loss and is typically characterized by the sudden appearance of floaters, flashes of light, and a shadow or curtain over a portion of the visual field.

Choice B rationale

Peripheral vision loss and seeing halos around light are more commonly associated with conditions like glaucoma. Glaucoma involves increased intraocular pressure, which can damage the optic nerve and lead to peripheral vision loss and seeing halos around lights. This condition can be managed with medications or surgery to lower intraocular pressure and prevent further vision loss.

Choice C rationale

Complaints of severe pain and pressure in the eye are indicative of acute angle-closure glaucoma. This is a medical emergency and requires prompt treatment to reduce intraocular pressure and prevent optic nerve damage. The symptoms of acute angle-closure glaucoma are sudden and severe and can include headache, nausea, and vomiting, along with the eye pain and pressure.

Choice D rationale

Central vision loss with intact peripheral vision is characteristic of macular degeneration, particularly age-related macular degeneration (AMD). AMD affects the macula, the part of the retina responsible for sharp, central vision. As the macula deteriorates, central vision becomes blurry or wavy, making it difficult to read, drive, or recognize faces, while peripheral vision remains largely unaffected.

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Correct Answer is A

Explanation

Choice A rationale

The Romberg test evaluates equilibrium by having the client stand with feet together and eyes closed, observing for swaying or imbalance. It assesses the function of the vestibular system, proprioception, and cerebellar function, making it the most appropriate test for assessing dizziness and equilibrium.

Choice B rationale

The Weber test involves placing a tuning fork on the forehead to evaluate sound lateralization. It assesses hearing loss but not equilibrium, making it less suitable for dizziness assessment.

Choice C rationale

The Rinne test compares air and bone conduction of sound using a tuning fork. While useful for diagnosing conductive hearing loss, it does not assess equilibrium, making it inappropriate for evaluating dizziness.

Choice D rationale

The cover test evaluates eye alignment and muscle function by having the client cover one eye and observe the uncovered eye for movement. It assesses ocular motility but not equilibrium, making it unsuitable for dizziness assessment.

A. Patient would be unable to pass the Snellen exam. B. Difficulty seeing from far or at a distance. C. Inability to see objects or letters close in range. D. Patient most likely will pass the Rosenbaum chart.

Correct Answer is C

Explanation

Choice A rationale

Patients with hyperopia (farsightedness) are able to see distant objects clearly but may have difficulty focusing on near objects. They can pass the Snellen exam, which measures distance vision, but may struggle with close-up tasks.

Choice B rationale

Hyperopia involves difficulty seeing close objects, not distant ones. Therefore, patients with hyperopia would not have difficulty seeing from far or at a distance, making this statement incorrect.

Choice C rationale

Hyperopia, or farsightedness, is characterized by the inability to see objects or letters that are close in range. It occurs when the eye's shape causes light to focus behind the retina instead of directly on it, leading to blurred near vision. Corrective lenses can help focus light properly on the retina.

Choice D rationale

The Rosenbaum chart is used to assess near vision acuity, which would highlight issues with hyperopia. However, patients with hyperopia would pass the Snellen exam, which tests distance vision, but might struggle with the Rosenbaum chart. .

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The daughter of an elderly client diagnosed with macular degeneration asks the nurse to explain this disorder.In formulating a response, the nurse would include information that this condition is characterized by which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports dizziness on her yearly physical exam.Which of the following tests would be the most appropriate to assess the client's equilibrium?

Correct Answer is A

Explanation

Which of the following is true in regards to hyperopia?

Correct Answer is C

Explanation

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A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?

The nurse is reviewing a client's medical record with a documented Snellen exam of 20/50, uncorrected.Patient could read the Rosenbaum chart without difficulty.Based on this information, the client has:

The daughter of an elderly client diagnosed with macular degeneration asks the nurse to explain this disorder.
In formulating a response, the nurse would include information that this condition is characterized by which of the following?