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

Answer and Explanation

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.

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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.

A. Nicardipine B. Dopamine C. Mannitol D. Phenytoin

Correct Answer is C

Explanation

A. Nicardipine is a calcium channel blocker used for blood pressure management, not for decreasing ICP.
B. Dopamine is used for shock or hypotension but does not address ICP.
C. Mannitol is an osmotic diuretic used to decrease ICP by drawing fluid out of the brain and reducing swelling.
D. Phenytoin is an anticonvulsant used to prevent seizures, but it does not directly affect ICP.

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Which initial clinical manifestation would a patient report with a retinal detachment?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has increased intracranial pressure and has a worsening neurologic condition. Which of the following cues should the nurse recognize as a worsening condition? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

Correct Answer is C

Explanation

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