The nurse provides education to a client with a diagnosis of glaucoma. Which client statement indicates effective learning has occurred?
"I can expect clouding of my vision unless I have surgery."
"Magnified reading glasses can help slow the progression."
"Better control of my blood sugars can delay vision loss."
"Driving can be dangerous due to loss of peripheral vision."
The Correct Answer is D
A. This statement reflects cataract knowledge, not glaucoma. Glaucoma primarily causes loss of peripheral vision, and central vision may remain intact until late stages. Clouding of vision is not a typical symptom of glaucoma.
B. Reading glasses do not affect glaucoma progression. Glaucoma management focuses on lowering intraocular pressure through medications, laser therapy, or surgery, not corrective lenses.
C. While good glycemic control is important in diabetic retinopathy, it does not prevent or slow glaucoma progression. This shows a misunderstanding of glaucoma-specific management.
D. This statement correctly reflects understanding of glaucoma’s characteristic vision loss, which begins with peripheral visual field defects. Loss of peripheral vision can impact mobility and safety, making driving potentially hazardous. This demonstrates effective learning about the functional implications of glaucoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This is an intervention, not a goal. Applying barrier cream is a specific nursing action used to prevent skin breakdown, but goals should focus on desired client outcomes rather than tasks performed by the nurse.
B. Assessing the skin is an important part of care and a nursing intervention, but it does not describe the expected end result or outcome for the client. Goals should reflect what the client is expected to achieve or maintain.
C. This is the most appropriate goal for a client at risk for skin breakdown. It is client-centered, measurable, and outcome-oriented, indicating the desired result of nursing interventions. Maintaining intact skin directly reflects prevention of pressure injuries, abrasions, or other skin compromise.
D. While minimizing pain is important, it is not the primary goal related to the risk of skin breakdown unless the client is already experiencing painful lesions. The priority for a client at risk is preventing skin compromise.
Correct Answer is D
Explanation
A. Deep palpation using circular motion is inappropriate for lymph node assessment because lymph nodes are superficial structures. Deep palpation may miss small nodes or cause discomfort and is generally reserved for assessing deeper organs, such as the liver or kidneys.
B. Tapping using gentle strokes with four fingers describes percussion, which is used to assess structures like the lungs or abdomen, not lymph nodes. Percussion does not provide information about size, consistency, mobility, or tenderness of lymph nodes.
C. Lightly pinching with first two fingers is not a standard technique and may be too rough or inaccurate to assess lymph nodes. Pinching could compress surrounding tissues and fail to detect small or tender nodes.
D. Using gentle circular motions with the pads of the fingers is the correct technique. The nurse should use the pads of the index and middle fingers to gently palpate each group of lymph nodes in a systematic sequence, assessing for size, consistency, tenderness, and mobility. This technique ensures that nodes are not missed and patient discomfort is minimized.
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