The nurse recently diagnosed a client as experiencing Visual Sensory/Perceptual Alterations related to increased intraocular pressure. The priority for the plan of care would be
a. encouraging compliance with drug therapy to prevent loss of vision.
b. managing the severe pain experienced until the optic nerve atrophies.
c. providing anticipatory guidance regarding the eventual loss of peripheral vision.
d. recognizing that damage to the eye caused by glaucoma can be reversed.
A
The administration of eye drops is a critical component of self-care for the client with glaucoma. The vision that is lost is permanent; however, strict adherence to the treatment regimen can prevent further loss. Primary open-angle glaucoma, the most common type, is not painful.
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The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:
1. Monitor that students who need glasses wear them. 2. Send letters home to parents reminding the students to wear the glasses. 3. Follow up on referrals made to determine outcomes for those students with vision or hearing problems. 4. Ask the teachers if they are aware of any other problems with students in the classroom.
Assessment reveals that a child weighs 73 lbs and is 4 ft 1 in. tall. The nurse calculates this child's body mass index as:
A) 19.1 B) 20.7 C) 21.4 D) 24.5
At an early prenatal office visit the client says, "I don't know if my mother had any miscarriages, but I will call her and ask. Why is that important to me?" How should the nurse respond?
1. "We always want to know your full history." 2. "A woman's obstetric experiences are often like her mother's." 3. "Miscarriages and stillbirths are often due to a genetic problem." 4. "If your mother had miscarriages, you are more likely to have one."
A client is diagnosed with a vision disorder. The nurse realizes that the client will experience an alteration in sensory information because the eyes transmit what percentage of all sensory information to the brain?
1. 30% 2. 50% 3. 70% 4. 90%