a client does not understand why vision loss due to glaucoma is irreversible what is the best explanation

ATI RN

Multi Dimensional Care | Final Exam

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

A. Once bacterial infection has caused damage, the tissue does not regenerate.
B. Once retinal detachment occurs, it does not return to its normal state.
C. Too many nerve fibers have become ischemic and died, so vision loss is permanent.
D. Glaucoma always leads to permanent blindness.

Correct answer: C

Rationale: The correct answer is C. In glaucoma, the optic nerve damage due to high intraocular pressure leads to permanent vision loss because the nerve fibers do not regenerate. Choice A is incorrect as it discusses bacterial infection, not relevant to glaucoma. Choice B is incorrect because it refers to retinal detachment, not glaucoma. Choice D is incorrect because not all glaucoma cases lead to permanent blindness; vision loss can be prevented or slowed with treatment.

2. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

A. Creamy pus
B. Serous
C. Serosanguineous
D. Purulent exudate

Correct answer: C

Rationale:

3. What is an example of proper body mechanics when lifting?

A. Lifting the object with your back
B. Standing with a narrow stance
C. Lifting excessive weight to strengthen the muscles
D. Holding the object close to the body

Correct answer: D

Rationale: Proper body mechanics include holding objects close to the body to prevent injury.

4. A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?

A. Nociceptive
B. Neuropathic
C. Visceral
D. Cutaneous

Correct answer: A

Rationale:

5. What is a priority intervention when caring for a client in Buck’s traction?

A. Adjust the size of the traction weights PRN as needed
B. Discontinue the traction once the client has pain relief
C. Ensure the traction weights rest on the floor
D. Assess skin integrity

Correct answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck’s traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.