Which of the following symptoms is indicative of a detached retina, a condition considered a medical emergency?
Mild discomfort when moving the affected eye
Sudden onset of flashes of light and floaters in the field of vision
Persistent eye redness and irritation
Gradual onset of blurry vision
The Correct Answer is B
A. Mild discomfort when moving the affected eye: Eye discomfort with movement is more commonly associated with conditions such as optic neuritis or eye muscle strain. It does not indicate retinal detachment, which usually presents with more acute visual changes not pain.
B. Sudden onset of flashes of light and floaters in the field of vision: These symptoms are hallmark indicators of retinal detachment, caused by the retina pulling away from the underlying tissue. The sudden visual disturbances may also include a curtain-like shadow across the field of vision, making this a true medical emergency.
C. Persistent eye redness and irritation: Redness and irritation are more characteristic of conjunctivitis, uveitis, or dry eye syndrome. While uncomfortable, these conditions are not emergencies in the same way retinal detachment is.
D. Gradual onset of blurry vision: Gradual blurring of vision is associated with conditions such as cataracts, glaucoma, or macular degeneration. Unlike retinal detachment, these changes occur over time and do not present with sudden flashes or floaters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A geriatric syndrome is a type of chronic disease that only affects the cardiovascular system. It is important because it is the leading cause of death in older adults: This description is too narrow, as geriatric syndromes are not confined to one body system.
B. A geriatric syndrome is any disease that occurs exclusively in individuals over the age of 65. It is important because it helps in diagnosing age-specific diseases: Geriatric syndromes are not diseases that occur exclusively in older adults but are multifactorial influenced by aging, comorbidities, and functional decline.
C. A geriatric syndrome is a genetic condition that affects older adults. It is important because it can be inherited and passed down through generations: Geriatric syndromes are not genetic disorders. While genetics may contribute to vulnerability, these syndromes primarily result from accumulated impairments across multiple systems.
D. A geriatric syndrome is a multifactorial health condition that occurs when the accumulated effects of impairments in multiple systems render an older person vulnerable to situational challenges. It is important because it can significantly impact the quality of life and functional independence of older adults: Examples include falls, delirium, frailty, and incontinence, which require comprehensive management due to their impact on independence
Correct Answer is A
Explanation
A. Functional incontinence: This occurs when a person cannot recognize or respond to the urge to void due to cognitive, mobility, or environmental barriers. In this case, the client’s severe cognitive impairment prevents her from communicating her need to urinate.
B. Urge incontinence: Urge incontinence is characterized by a sudden, intense need to urinate followed by involuntary leakage, often due to overactive bladder. Since the client cannot express urgency or recognize the need to void, this does not fit the scenario.
C. Postvoid residual: Postvoid residual refers to urine left in the bladder after urination, usually due to incomplete emptying. It can cause overflow incontinence but does not explain incontinence due to unrecognized voiding needs caused by cognitive impairment.
D. Stress incontinence: Stress incontinence occurs with increased intra-abdominal pressure, such as during coughing, sneezing, or laughing, leading to leakage. This is unrelated to the client’s inability to recognize or communicate the urge to void.
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