while completing a health history the client reports experiencing blurring of vision in both eyes without associated pain what condition does the nurs

ATI RN

Multi Dimensional Care | Final Exam

1. While completing a health history the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect?

A. Macular degeneration
B. Cataract
C. Retinal detachment
D. Glaucoma

Correct answer: B

Rationale: Cataracts can cause blurring of vision in both eyes without associated pain.

2. What intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip?

A. Encouraging bedrest
B. Applying antiembolism stockings
C. Tell the client to take anticoagulants
D. Teaching about smoking cessation

Correct answer: B

Rationale: The best intervention to prevent deep vein thrombosis (DVT) after a fracture of the hip is to apply antiembolism stockings. These stockings help promote circulation and prevent blood clots from forming in the legs due to immobility. Encouraging bedrest is not recommended as it can increase the risk of DVT. While anticoagulants are used in some cases, the primary prevention method is mechanical prophylaxis like antiembolism stockings. Teaching about smoking cessation is important for overall health but is not directly related to preventing DVT in this scenario.

3. Which among the following is NOT the cause of pressure ulcers?

A. Immobility
B. Poor nutrition
C. Moisture
D. Adequate perfusion

Correct answer: D

Rationale:

4. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called?

A. Reflex sympathetic dystrophy
B. Avascular necrosis
C. Delayed union
D. Complex regional pain syndrome

Correct answer: B

Rationale: The correct answer is B, avascular necrosis. Avascular necrosis is the condition where bone tissue dies due to the disruption of blood supply to the bone. Reflex sympathetic dystrophy (Choice A) is a chronic pain condition, delayed union (Choice C) refers to a delayed healing of a fracture, and complex regional pain syndrome (Choice D) is a chronic pain condition typically affecting an arm or leg.