Which visual disorder would the nurse associate with the patient's clinical manifestations of itching, irritation, intolerance of light, and crusty debris of the lid margins and lashes?
Blepharitis
Retinal detachment
Allergic conjunctivitis
Cataract
The Correct Answer is A
A. Blepharitis is an inflammation of the eyelid margin causing symptoms such as itching, irritation, light intolerance, and crusting.
B. Retinal detachment involves sudden visual disturbances such as flashes of light or a curtain-like shadow, not itching or crusting.
C. Allergic conjunctivitis involves redness, itching, and watery discharge, not crusty debris on the lid margins.
D. Cataracts lead to blurred vision and glare, not irritation or crusting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sitting at a 30° angle is not optimal for eating. The client should sit upright at a 90° angle to ensure safe swallowing.
B. Tilting the head forward while swallowing helps promote a safer swallow and reduces the risk of aspiration.
C. Coughing while swallowing is not a recommended strategy unless there is aspiration, and it does not address prevention of dysphagia.
D. Placing food on the weaker side of the mouth is not recommended. The food should be placed on the stronger side to improve swallowing safety.
Correct Answer is B
Explanation
A. Increased intracranial pressure (ICP) typically causes hypertension (increased blood pressure) rather than hypotension.
B. A decreased level of consciousness is one of the hallmark signs of increased ICP, as pressure on the brainstem affects consciousness.
C. Tachypnea may occur with ICP, but it is less specific compared to decreased consciousness.
D. This can occur with brain injury but is not as directly indicative of ICP as decreased consciousness.
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