An ophthalmic examination reveals papilledema. The nurse is aware that this finding indicates:
a. Retinal detachment.
b. Diabetic retinopathy.
c. Acute-angle glaucoma. d.
Increased intracranial pressure.
ANS: D
Papilledema, or choked disk, is a serious sign of increased intracranial pressure, which is caused by a space-occupying mass such as a brain tumor or hematoma. This pressure causes venous stasis in the globe, showing redness, congestion, and elevation of the optic disc, blurred margins, hemorrhages, and absent venous pulsations. Papilledema is not associated with the conditions in the other responses.
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