The nurse is interviewing an elderly client and notes the presence of several soft, yellow plaques on the eyelids at the inner canthus. The nurse would suspect that the client has developed which of the following conditions?
1. Xanthelasma
2. Pingueculae
3. Pterygium
4. Arcus senilis
1
Rationale 1: Xanthelasma are soft, yellow plaques on the lids at the inner canthus and are a part of normal aging, not related to vision or eye problems.
Rationale 2: Pingueculae are yellowish nodules that are thickened areas of the bulbar conjunctiva caused by prolonged exposure to sun, wind, and dust. They may be on either side of the pupil.
Rationale 3: Pterygium is opacity of the bulbar conjunctiva that can grow over the cornea and block vision.
Rationale 4: Arcus senilis is a light gray or white ring surrounding the iris at the corneal margin due to the deposition of lipids. This is a common finding.
You might also like to view...
Which statement explains the third stage of Rogers' (1995) innovation-diffusion model of research utilization?
1. This stage involves the nurse becoming aware of a research-based nursing intervention. 2. The nurse decides whether or not to adopt the new intervention. 3. The nurse actually puts into practice the intervention or uses the knowledge indirectly. 4. This stage involves the evaluation of the intervention for its effectiveness.
While performing a nursing assessment the nurse says to a client, "While growing up, most of us
have heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?" The purpose of this question is to a. determine possible homosexuality. b. identify sexual misinformation. c. identify areas of sexual dysfunction for treatment. d. introduce the topic of masturbation.
Which of the following is/are accurate about nasotracheal suctioning? Choose all that apply
1) Apply suction for no longer than 10 sec during a single pass. 2) Apply suction while inserting and removing the catheter. 3) Reapply oxygen between suctioning passes for ventilator patients. 4) Gently rotate the suction catheter as you remove it.
A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals' responses, anticipating which of the following?
A) People can become aggressive and violent when their basic needs are threatened. B) People involved in the disaster will always put the welfare of others before their own. C) Losses incurred during the disaster have little, if any, long-term effect on victims. D) The psychological distress associated with disasters is felt immediately.