When planning care for a client newly diagnosed with open-angle glaucoma, the nurse identifies a priority nursing problem of visual sensory-perceptual alterations. This problem is based on which etiology?
Limited eye movement.
Photosensitivity.
Decreased peripheral vision.
Blurred distance vision.
The Correct Answer is C
Choice A reason: Limited eye movement is not typically associated with open-angle glaucoma, which primarily affects peripheral vision.
Choice B reason: Photosensitivity can be a symptom of various eye conditions but is not the primary issue in open-angle glaucoma.
Choice C reason: This is the correct choice. Open-angle glaucoma is characterized by the gradual loss of peripheral vision, which can lead to tunnel vision if untreated.
Choice D reason: Blurred distance vision can occur in many eye conditions but is not specific to open-angle glaucoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While symptoms of infection are important to assess, they are not the immediate priority following vaccine administration.
Choice B reason: Anaphylaxis is a rapid, potentially life-threatening allergic reaction that can occur after vaccination, making it the priority assessment.
Choice C reason: Pain at the injection site is common and expected, but it is not as critical as assessing for anaphylaxis.
Choice D reason: Myalgia, or muscle pain, may occur after vaccination but is not the immediate priority for assessment.
Choice E reason: Hyperthermia, or elevated body temperature, could indicate an adverse reaction; however, anaphylaxis is the most urgent concern to address post-vaccination.
Correct Answer is B
Explanation
Choice A reason: While it is important to prepare the child for changes, maintaining normalcy is more immediately beneficial.
Choice B reason: This is the correct choice. Maintaining normal routines provides a sense of stability and normalcy, which is comforting during a stressful time.
Choice C reason: Allowing the child to talk about the illness is important, but it may not be as comforting as maintaining normal routines.
Choice D reason: Encouraging friends to visit can provide support, but it is not as impactful on daily comfort as maintaining normal routines.
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