Author Question: A client experiencing sudden acute eye pain is diagnosed with glaucoma. The diagnosis is more likely ... (Read 33 times)

Mimi · **on:** Jul 23, 2018

A client experiencing sudden acute eye pain is diagnosed with glaucoma. The diagnosis is more likely to be which type of glaucoma?

1. Open-angle
2. Dry type
3. Wet type
4. Closed-angle

Question 2

A client with diabetes asks the nurse why regular eye examinations for glaucoma are needed. What is the nurse's most accurate response?

1. Individuals with diabetes have a greater chance of developing glaucoma, and it is important to find this out early so that treatment can begin.
2. An adverse effect of insulin is vision loss, and frequent examinations will catch problems at an early stage.
3. The stress that you are under with this disease can result in an increased production of aqueous humor.
4. Your diabetes is under such good control that it is probably not necessary to have eye examinations so frequently.

JCABRERA33 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Open-angle glaucoma develops slowly over years, with gradual degeneration of the optic nerve. There are limited early symptoms.
Rationale 2: Dry type is a term used to describe a particular type of macular degeneration.
Rationale 3: Wet type is a term used to describe a particular type of macular degeneration.
Rationale 4: Closed-angle glaucoma occurs when there is a sudden increase in intraocular pressure. The sudden obstruction of the flow of aqueous humor can result in dull-to-severe eye pain.
Global Rationale: Closed-angle glaucoma occurs when there is a sudden increase in intraocular pressure. The sudden obstruction of the flow of aqueous humor can result in dull-to-severe eye pain. Open-angle glaucoma develops slowly over years, with gradual degeneration of the optic nerve. There are limited early symptoms. Wet type and dry type refer to macular degeneration.

Answer to Question 2

Correct Answer: 1
Rationale 1: Diabetes is a risk factor for developing glaucoma. Early intervention reduces the risk of blindness due to glaucoma.
Rationale 2: Glaucoma does not occur as an adverse effect of insulin use.
Rationale 3: Stress can cause persistent pupil dilation that can be associated with closed-angle glaucoma, but it is not associated with increased production of aqueous humor.
Rationale 4: The client with diabetes has two reasons to have frequent eye examination: the early detection of glaucoma and retinal changes that can lead to blindness.
Global Rationale: Diabetes is a risk factor for developing glaucoma. Early intervention reduces the risk of blindness due to glaucoma. Glaucoma does not occur as an adverse effect of insulin use. Stress can cause persistent pupil dilation that can be associated with closed-angle glaucoma, but it is not associated with increased production of aqueous humor. The client with diabetes has two reasons to have frequent eye examination: the early detection of glaucoma and retinal changes that can lead to blindness.