Which implementation is appropriate in the care plan for a visually impaired person?

Leaving the bed in the highest position

Leaving the radio on all the time to help the patient know the time of day

Announcing your presence when you enter and leave the room

Keeping the door closed

Answer and Explanation

The Correct Answer is C

a) Leaving the bed in the highest position: This could create a fall risk for the visually impaired person, so it is not an appropriate intervention.
b) Leaving the radio on all the time to help the patient know the time of day: While this may provide some information, it is not the most effective approach for supporting a visually impaired client.
c) Announcing your presence when you enter and leave the room: This is an essential intervention to orient a visually impaired person and help them understand the environment.
d) Keeping the door closed: This could pose a safety risk by limiting the client’s ability to orient to the surroundings. It is generally better to keep doors open for better access and awareness.

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Correct Answer is A

Explanation

a) Report signs of corneal rejection to the physician: Cloudiness may indicate graft rejection, requiring immediate medical attention.
b) Elevate the patient's head and encourage increased fluid intake: This can help reduce intraocular pressure but does not address corneal rejection.
c) Reassure the patient that cloudiness is normal for several weeks: Persistent cloudiness is not typical and warrants evaluation.
d) Prepare the patient for emergency surgery: Emergency surgery is not the first step unless complications are severe.

A. "Tonometry will allow inspection of the optic disc for signs of degeneration." B. "This test will diagnose the type of your glaucoma." C. "Tonometry is performed to evaluate peripheral vision." D. "This test will measure the intraocular pressure of the eye."

Correct Answer is D

Explanation

a) "Tonometry will allow inspection of the optic disc for signs of degeneration." Tonometry measures intraocular pressure (IOP) but does not provide direct information about the optic disc.
b) "This test will diagnose the type of your glaucoma."Tonometry measures IOP, but additional tests, such as visual field testing and optic disc examination, are needed to diagnose the type of glaucoma.
c) "Tonometry is performed to evaluate peripheral vision."Tonometry measures intraocular pressure, not peripheral vision. Visual field testing is used to assess peripheral vision.
d) "This test will measure the intraocular pressure of the eye." Tonometry is used to measure intraocular pressure, which is a key factor in diagnosing and managing glaucoma.

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Which implementation is appropriate in the care plan for a visually impaired person?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After keratoplasty, you observe that the patient's cornea is cloudy. What should you do?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about a tonometry examination with a client who has manifestations of glaucoma. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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