Jenny has been to the eye doctor and had a yearly examination. She was told she had macular degeneration in her right eye. Her left eye remains unaffected
a. Explain what macular degeneration is and how one eye is affected more so than the other.
b. What are the types of age-related macular degeneration?
c. What are the symptoms related to this disorder?
d. What are the treatments?
Students' answers should include the following:
a. Damage to the point of the retina where the light rays converge for visual perception on the macula
Affects older adults
AMD usually affects older adults aged 60 years or older
b. Two types: wet and dry
Dry—most common type; small yellowish deposits under retina
Client experiences blurred vision.
Early, intermediate, and advanced AMD
Advanced AMD has no treatments or cure.
Wet type has two classifications: first—choroidal neovascularization; second—occult choroidal neovascularization
c. First—fluid seeps in and separate retina like a blister
Second—new growth and leakage is less pronounced; less severe
Color perception may diminish, vision blurs, and bull'-s eye area of vision disappears.
d. Treatment for wet AMD: laser photocoagulation, implantable miniature telescope, macular translocation, angiogenesis inhibitors, and photodynamic therapy
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A client is brought to the emergency department complaining of severe chest pain. The triage nurse assigns this client the triage category of
a. emergent. b. non-urgent. c. urgent. d. vital.
The change on the ECG tracing associated with transmural myocardial damage is:
1. ST segment elevation. 2. Loss of P waves. 3. Bradycardia. 4. Widening of the QRS complex.
The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)
a. Test for skin tenting. b. Measure rate and character of pulse. c. Measure postural blood pressure and heart rate. d. Check Trousseau's sign. e. Observe for flatness of neck veins when upright. f. Observe for flatness of neck veins when supine.
A nurse manager is working on several projects and is stressed most of the time. This manager usually works on the unit instead of her office to make sure she does not miss anything. Which would be the most effective method to decrease stress?
1. Keep a structured schedule for ?work time? on each project in the office. 2. Elicit assistance from employees to help complete the projects. 3. Allow one project to fall behind while finishing up the others. 4. Take a sick day to work on the projects uninterrupted at home.