The emergency department nurse has several clients present to triage with eye complaints. Which client will the nurse assess first?

The client who suddenly has periocular pain and loss of central vision in the left eye for an hour

The client who has noticed decreased peripheral vision in both eyes during the past year

The client who has reduced vision bilaterally after spending two hours skiing on a sunny day

The client who has reduced vision on one side when coming out of a dark place into sunlight

Answer and Explanation

The Correct Answer is A

A. Sudden onset of periocular pain and loss of central vision may indicate acute angle-closure glaucoma, retinal detachment, or central retinal artery occlusion, all of which are ophthalmic emergencies that can result in permanent vision loss if not treated immediately. This client requires priority assessment.

B. Gradual peripheral vision loss over a year suggests chronic conditions such as glaucoma, which require assessment but are not immediately vision-threatening.

C. Temporary reduced vision after sun exposure is likely photokeratitis and is usually self-limiting; urgent assessment is not required.

D. Transient reduced vision when moving from dark to bright light is a normal physiologic response (adaptation to light) and is not an emergency.

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Correct Answer is D

Explanation

A. Geographical influences, such as where a person lives or distance from family, may affect access to support systems and resources but do not primarily determine how grief is expressed.
B. Socioeconomic influences affect the availability of coping resources (such as counseling, funeral arrangements, or support services), but they do not directly shape how emotions related to grief are outwardly expressed.
C. The cause of death can affect the intensity or complexity of grief (sudden vs. expected death, violent vs. natural causes) but does not usually dictate the manner of grief expression.
D. Cultural influences are the most significant factor in how grief is expressed. Culture shapes beliefs about death, mourning rituals, communication of loss, and whether emotions are openly displayed or kept private. Understanding cultural practices allows nurses to provide compassionate and sensitive care.

A. The hip has dislocated B. The incision has dehisced C. There is bleeding at the operative site D. An infection has developed suddenly

Correct Answer is A

Explanation

A. A sudden onset of severe hip pain with observable shortening and external rotation of the affected extremity is a hallmark sign of hip dislocation, a serious complication after hip replacement surgery. This requires immediate intervention to prevent neurovascular damage.
B. Incision dehiscence involves the surgical wound opening but does not typically cause leg shortening or severe sudden hip pain.
C. Bleeding at the operative site may lead to swelling, bruising, or decreased hemoglobin, but it does not cause limb shortening or abrupt severe pain localized to the hip joint.
D. Infection usually develops gradually with fever, redness, warmth, or drainage at the surgical site, not a sudden severe pain with extremity shortening.

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The emergency department nurse has several clients present to triage with eye complaints. Which client will the nurse assess first?

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Naxlex Comprehensive Predictor Exams

The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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