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:

Choice A rationale

An elliptical chest configuration is considered a normal shape for the thorax. This configuration allows for optimal lung expansion and function. Deviations from this shape, such as a barrel chest, might indicate underlying pulmonary conditions.

Choice B rationale

Eupnea refers to normal, unlabored breathing, which is an expected finding during a respiratory assessment. It indicates that the individual is not experiencing respiratory distress and that their respiratory rate, rhythm, and effort are within normal limits.

Choice C rationale

Resonance is a normal percussion sound heard over healthy lung tissue. It indicates that the underlying lung areas are filled with air, which is a positive sign of healthy lung function.

Choice D rationale

Inspiratory wheezing, a high-pitched whistling sound during breathing, is typically indicative of narrowed or obstructed airways, often associated with conditions such as asthma or chronic obstructive pulmonary disease, and is not considered a normal finding.

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.