The nurse is assessing the client's eyes. Which of the following findings is most consistent with glaucoma?
1. Eyeballs are firm to palpation.
2. Pupils are constricted bilaterally.
3. Central vision is impaired.
4. The client has a history of syphilis.
1
Rationale 1: A client's eyeballs that are firm when palpated may have glaucoma.
Rationale 2: Dilated, not constricted, pupils are most often associated with glaucoma.
Rationale 3: Impaired central vision is associated with macular degeneration.
Rationale 4: Clients who have been infected previously with syphilis may develop a condition called Argyll Robertson pupils. This is when the client's pupils are bilaterally constricted, small, irregular, and nonreactive to light.
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