A client does not understand why vision loss due to glaucoma is irreversible. What explanation by the nurse is best?

a. "Because eye pressure was too high, the tissue died."
b. "Glaucoma always leads to permanent blindness."
c. "The traumatic damage to your eye was too great."
d. "The infection occurs so quickly it can't be treated."


ANS: A
Glaucoma is caused when the intraocular pressure becomes too high and stays high long enough to cause tissue ischemia and death. At that point, vision loss is permanent. Glaucoma does not have to cause blindness. Trauma can cause glaucoma but is not the most common cause. Glaucoma is not an infection.

Nursing

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The nurse working at an assisted living facility has just counseled a client experiencing a crisis in Erickson's developmental stage of integrity versus despair. Which suggestion by the nurse would be most appropriate to assist this client?

1. "You should consider buying a bigger house so that your divorced son can come and live with you." 2. "You should consider getting a job to fill your time." 3. "You should organize your family photos into an album" 4. "You should consider playing a sport."

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After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the patient's body?

A) To destroy part of the thyroid gland B) To inhibit production of thyroid hormone in the thyroid gland C) To suppress the anterior pituitary gland's secretion of thyroid-stimulating hormone (TSH) D) To suppress the hypothalamus's production of thyrotropin-releasing hormone (TRH)

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The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

a. everyone who has given or will be giving narcotics on both shifts b. one nurse who is going off duty and one nurse coming on duty c. one pharmacy technician and the unit's head or charge nurse d. the unit's head nurse and a hospital pharmacist

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The process of becoming more conscious of and naming what we value or consider worthy is:

a. journaling. c. overt values. b. values clarification. d. values conflict.

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