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 nursing interventions increase the risk the pressure injuries?

A. Padding hard surfaces
B. Have client sit in wheelchair as much as possible
C. Place pillows between bony surfaces
D. Keep head of bed (HOB) at or less than 3

Correct answer: B

Rationale:

3. A client is diagnosed with glaucoma. The provider needs to determine if it is open-angle glaucoma or closed-angle glaucoma. What test does the nurse anticipate?

A. Ultrasonic imaging
B. Gonioscopy
C. Corneal staining
D. Electroretinography

Correct answer: B

Rationale: Gonioscopy is the appropriate test to anticipate in this scenario. It is used to distinguish between open-angle and closed-angle glaucoma by examining the angle where the iris meets the cornea. Choice A, ultrasonic imaging, is not typically used to differentiate between these types of glaucoma. Choice C, corneal staining, is used to detect corneal abrasions and defects, not to differentiate between types of glaucoma. Choice D, electroretinography, is a test that measures the electrical responses of various cell types in the retina and is not specific to differentiating between open-angle and closed-angle glaucoma.

4. The nurse is planning care for a post-operative client after a total hip arthroplasty. What is the priority nursing intervention?

A. Observe client for changes in mental status
B. Use aseptic technique for wound care and emptying of drains
C. Keep the client's heels off the bed
D. Perform neurovascular assessments per protocol

Correct answer: D

Rationale:

5. What is not a nursing intervention for a client with osteoporosis?

A. Nurse will encourage the intake of adequate amounts of calcium and vitamin D
B. Nurse will encourage the client to complete weight-bearing exercises
C. Nurse will encourage the client to avoid muscle strengthening exercises
D. Nurse will encourage the client to avoid repetitive movements

Correct answer: C

Rationale: The correct answer is C. Avoiding muscle strengthening exercises is not recommended for clients with osteoporosis; on the contrary, weight-bearing exercises are beneficial. Choice A is correct as ensuring adequate calcium and vitamin D intake is essential for bone health. Choice B is also correct as weight-bearing exercises help improve bone density. Choice D is incorrect because avoiding repetitive movements is not a standard nursing intervention for osteoporosis.