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) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.

A. "Open-angle glaucoma is the kind that develops slowly." B. "Closed-angle glaucoma is the one that suddenly develops." C. "Glaucoma can be cured by taking eye drops for 2 weeks. D. "Glaucoma is an eye disorder that develops because the pressure inside your eyeball is too high."

Correct Answer is C

Explanation

a) "Open-angle glaucoma is the kind that develops slowly." This statement is accurate, as open-angle glaucoma progresses gradually without noticeable symptoms, leading to irreversible damage over time.
b) "Closed-angle glaucoma is the one that suddenly develops." Closed-angle glaucoma is typically acute and presents suddenly with symptoms like severe eye pain, nausea, and vomiting.
c) "Glaucoma can be cured by taking eye drops for 2 weeks." Glaucoma is a chronic condition that cannot be cured by eye drops, and long-term management with medication or surgical intervention is required to control intraocular pressure.
d) "Glaucoma is an eye disorder that develops because the pressure inside your eyeball is too high." Glaucoma is primarily caused by increased intraocular pressure, which can damage the optic nerve.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an otoscopic examination on a client with acute otitis media. On examination of the tympanic membrane, which finding should the nurse expect to observe?

Correct Answer is A

Explanation

The nurse was discussing open-angle glaucoma with a patient who was newly diagnosed with glaucoma. Which statement by the patient indicates more teaching is needed?

Correct Answer is C

Explanation

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