The nurse working in the clinic receives telephone calls from several patients who want appointments as soon as possible. Which patient should be seen first?
64-yr-old who states that it is becoming difficult to read newsprint
74-yr-old who has difficulty seeing well enough to drive at night
71-yr-old who has noticed increasing loss of peripheral vision
60-yr-old who is reporting dry eyes with decreased tear formation
The Correct Answer is C
Rationale:
A. This is most likely due to presbyopia, a common age-related change, and is not an urgent condition.
B. This could be due to cataracts or age-related vision changes, but it does not indicate an immediate threat to vision.
C. Loss of peripheral vision is a classic sign of glaucoma, which can lead to permanent blindness if untreated. This requires urgent evaluation.
D. Dry eyes are uncomfortable but not urgent and do not pose an immediate threat to vision.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. While referral may be appropriate if symptoms persist or worsen, the priority intervention for suspected infectious conjunctivitis is initiating treatment.
B. Avoiding crowds may help reduce spread of infection but does not directly treat the patient’s condition.
C. Cold compresses may relieve discomfort but are supportive only and do not address the underlying infection.
D. The presentation of redness, tearing, and stringy discharge is consistent with bacterial conjunctivitis. The most appropriate intervention is to prepare prescribed antibiotic eye drops or ointment to treat the infection.
Correct Answer is A
Explanation
Rationale:
A. Amitriptyline, a tricyclic antidepressant, is frequently used as an adjuvant analgesic for neuropathic pain, such as diabetic neuropathy. It works by modulating neurotransmitters that influence pain perception.
B. Aspirin is an NSAID useful for inflammation or mild pain but not effective for neuropathic pain.
C. Celecoxib is a COX-2 inhibitor NSAID, effective for inflammatory pain (like arthritis), but not neuropathic pain.
D. Acetaminophen is an analgesic and antipyretic but has no significant effect on neuropathic pain.
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