Author Question: A nursing student asks the nurse to discuss the differences between POAG and angle-closure glaucoma. ... (Read 102 times)

123654777 · **on:** Jul 23, 2018

A nursing student asks the nurse to discuss the differences between POAG and angle-closure glaucoma. Which statement by the nurse is correct?

a. Angle-closure glaucoma may be asymp-tomatic until irreversible damage has oc-curred.
b. Both types are more common in African American patients.
c. Drug therapy is the definitive treatment for angle-closure glaucoma.
d. Early treatment with prostaglandin ana-logs can stop the progression of POAG.

Question 2

A patient has a Type IV hypersensitivity (delayed-type hypersensitivity) response to an infection. The nurse understands that which two types of cells are necessary for this response?

a. Antigen-presenting cells and mast cells
b. Cytolytic T lymphocytes and target cells
c. Immunoglobulin cells and dendritic cells
d. Infected macrophages and CD4 helper T cells

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

Answer to Question 1

D
Prostaglandin analogs are first-line agents for treating POAG, and early treatment can stop the progression. Angle-closure glaucoma has a rapid onset of painful symptoms. POAG is more common in African Americans but angle-closure glaucoma is not. Surgery, not drugs, is the de-finitive treatment for angle-closure glaucoma.

Answer to Question 2

D
The object of Type IV hypersensitivity (delayed-type hypersensitivity) is to rid the body of bac-teria that replicate within macrophages. The macrophage activates the CD4 cell, which in turn activates the macrophage. The other cells listed are not a part of this response.