Which initial clinical manifestation would a patient report with a retinal detachment?
Seeing flashes of light and floaters
Severe pain when moving the eyes
Increased glare with artificial light
Redness of the conjunctiva
The Correct Answer is A
A. Flashes of light and floaters are common early symptoms of retinal detachment as the retina begins to pull away from the underlying tissue.
B. Retinal detachment is usually painless; pain with eye movement is more associated with other eye conditions.
C. Increased glare is not typically associated with retinal detachment but may occur in cataracts.
D. Redness is usually a sign of conjunctivitis, not retinal detachment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Decreasing Glasgow Coma scores indicate a worsening neurological status and reduced consciousness.
B. Swelling of the optic nerve (papilledema) is a sign of increased ICP and indicates worsening conditions.
C. A respiratory rate of 12/min may be within normal range for some individuals but can also be a sign of impending respiratory depression in cases of severe ICP. However, it is not as immediately concerning as the other options in this case.
D. Changes in pupil size and shape are classic signs of worsening ICP. Unequal or nonreactive pupils are a key indicator.
E. Blood pressure of 108/74 mm Hg is not concerning unless it represents a significant drop from the baseline; other signs of worsening ICP are more critical in this case.
Correct Answer is ["A","B","D","E"]
Explanation
A. Managing sedation helps prevent agitation and decreases metabolic demands, which can exacerbate ICP.
B. Monitoring volume status is essential to prevent fluid imbalances that can worsen ICP.
C. Completing hourly endotracheal suctioning is not appropriate for this patient. Excessive suctioning can cause increased ICP and should be done cautiously.
D. Ensuring proper ventriculostomy transducer levels is critical for accurate measurement of ICP.
E. Elevating the head of the bed 30° helps improve venous drainage and reduces ICP.
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