The nurse assesses several clients. Which one is most likely to have secondary open-angle glaucoma?
a. Client with gradual onset of blurred vision
b. Client who has recently had eye surgery
c. Client who sees halos around lights
d. Client with reactive pupils and clear sclera
B
Secondary open-angle glaucoma results from another condition that interferes with drainage of the aqueous humor such as recent eye surgery. Cataracts usually start with a slow onset of blurred vision but do not lead to secondary open-angle glaucoma. A late manifestation of primary open-angle glaucoma is seeing halos around lights; this is not considered secondary open-angle glaucoma. The client with reactive pupils and clear sclera has normal assessment findings, not related to secondary open-angle glaucoma.
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