The nurse is developing a teaching plan for the client with glaucoma.
Which of the following instructions would the nurse include in the plan of care?
Decrease fluids to reduce intraocular pressure.
Eye drops will be needed lifelong.
Limit the amount of salt in the diet.
Avoid activities that overuse the eyes.
The Correct Answer is B
Choice A rationale
Fluid intake does not directly impact intraocular pressure. Management of glaucoma focuses on medications like eye drops and surgical interventions rather than restricting fluid intake.
Choice B rationale
Glaucoma treatments, including eye drops, aim to manage intraocular pressure. These medications are required lifelong to prevent optic nerve damage and preserve vision.
Choice C rationale
Excess salt impacts systemic blood pressure but does not directly influence intraocular pressure. Glaucoma management targets ocular pressure, not dietary sodium reduction.
Choice D rationale
Avoiding eye overuse may reduce strain but does not address intraocular pressure. Effective glaucoma treatment relies on pharmacological or surgical measures rather than activity limitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metoprolol decreases cardiac workload by reducing heart rate and myocardial oxygen demand. A heart rate of 62 is within normal limits, demonstrating effective beta-blocker action and improved cardiac efficiency.
Choice B rationale
Lying flat without difficulty breathing reflects improved respiratory status, which is more related to pulmonary management, not directly indicative of reduced cardiac workload or beta-blocker efficacy.
Choice C rationale
Absence of dyspnea after climbing stairs suggests improved physical fitness but does not directly measure the cardiac effects of metoprolol, which targets heart rate reduction and myocardial oxygen use.
Choice D rationale
Weight loss is related to overall health improvement or dietary changes rather than specific effects of metoprolol, which primarily impacts heart rate and cardiac oxygen consumption.
Correct Answer is B
Explanation
Choice A rationale
Symmetry of extraocular movements assesses cranial nerve function but does not relate to the corrective purpose of bifocals, which is addressing near and distant vision issues caused by presbyopia and myopia.
Choice B rationale
Bifocals correct presbyopia and myopia by combining lenses for near and distant vision in one frame. Effectiveness is assessed by evaluating improvements in both visual ranges, ensuring accommodation and refraction are properly corrected.
Choice C rationale
Cloudiness in the lens indicates cataracts, which bifocals cannot correct. Cataracts require surgical intervention, making this assessment irrelevant to determining bifocal lens effectiveness for presbyopia and myopia.
Choice D rationale
Intraocular pressure changes relate to glaucoma, not refractive issues like myopia or presbyopia. Monitoring for glaucoma requires tonometry, independent of bifocal lens evaluation.
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