Which assessment findings put the patient at high risk for development of vision problems? (Select all that apply)
Takes metoprolol to treat hypertension.
Takes docusate sodium for constipation.
Takes acetaminophen for osteoarthritis pain.
Takes insulin glulisine for type 1 diabetes.
Takes prednisone for multiple sclerosis.
Correct Answer : A,D,E
Choice A reason: This is correct. Taking metoprolol to treat hypertension can put the patient at high risk for development of vision problems. Metoprolol is a beta-blocker medication that can lower the blood pressure and heart rate. It can also reduce the blood flow to the eyes and cause dry eyes, blurred vision, or eye irritation.
Choice B reason: This is incorrect. Taking docusate sodium for constipation does not put the patient at high risk for development of vision problems. Docusate sodium is a stool softener medication that can ease the passage of hard stools. It does not have any direct effect on the eyes or vision.
Choice C reason: This is incorrect. Taking acetaminophen for osteoarthritis pain does not put the patient at high risk for development of vision problems. Acetaminophen is a pain reliever medication that can reduce inflammation and fever. It does not have any significant impact on the eyes or vision.
Choice D reason: This is correct. Taking insulin glulisine for type 1 diabetes can put the patient at high risk for development of vision problems. Insulin glulisine is a fast-acting insulin medication that can lower the blood sugar level. It can also cause fluctuations in the fluid balance and pressure in the eyes, leading to blurred vision, cataracts, glaucoma, or diabetic retinopathy.
Choice E reason: This is correct. Taking prednisone for multiple sclerosis can put the patient at high risk for development of vision problems. Prednisone is a corticosteroid medication that can suppress the immune system and reduce inflammation. It can also increase the intraocular pressure and cause cataracts, glaucoma, or optic nerve damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: This is incorrect. Turning on the television to drown out noise from other patients can worsen the sensory overload by adding more auditory stimulation. The patient may prefer a quiet and calm environment.
Choice B reason: This is correct. Instituting a unit-wide quiet time at 10:00 p.m. each night can benefit the patient by reducing the noise level and promoting rest and relaxation. The patient may sleep better and feel less agitated.
Choice C reason: This is correct. Reducing the number of visitors to the patient’s room can benefit the patient by minimizing the social and emotional demands and allowing the patient to have some privacy and personal space. The patient may feel less overwhelmed and more comfortable.
Choice D reason: This is correct. Providing a dedicated period of rest time each afternoon can benefit the patient by giving the patient a break from the sensory input and activities of the day. The patient may use this time to meditate, listen to soothing music, or do other calming activities.
Choice E reason: This is correct. Coordinating therapies and tests with other departments and providers can benefit the patient by avoiding unnecessary duplication or interruption of services and ensuring a smooth and consistent care plan. The patient may feel less stressed and more confident.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice because providing a warm cup of hot chocolate may make it more difficult for the patient to fall asleep. Hot chocolate contains caffeine and sugar, which are stimulants that can interfere with the sleep cycle and cause insomnia. The nurse should avoid giving the patient any beverages or foods that contain caffeine or sugar before bedtime.
Choice B reason: This is an incorrect choice because giving the patient a gentle backrub may make it easier for the patient to fall asleep. A backrub is a relaxation technique that can reduce muscle tension, pain, and anxiety, and promote comfort and sleep. The nurse should offer the patient a backrub or other soothing interventions before bedtime.
Choice C reason: This is an incorrect choice because encouraging the patient to use the bathroom may make it easier for the patient to fall asleep. Using the bathroom before bed can prevent nocturia, which is the need to urinate at night, and allow the patient to have uninterrupted sleep. The nurse should assist the patient to use the bathroom or provide a urinal or bedpan if needed.
Choice D reason: This is an incorrect choice because giving the patient an extra blanket when cold may make it easier for the patient to fall asleep. Maintaining a comfortable temperature is important for sleep quality and quantity. The nurse should adjust the room temperature and provide extra blankets or fans as requested by the patient.
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