A client does not understand why vision loss due to glaucoma is ...

[james]

A client does not understand why vision loss due to glaucoma is irreversible. What explanation by the nurse is best?
 
  a. Because eye pressure was too high, the tissue died.
  b. Glaucoma always leads to permanent blindness.
  c. The traumatic damage to your eye was too great.
  d. The infection occurs so quickly it can't be treated.

Question 2

A client is in the preoperative holding area waiting for cataract surgery. The client says Oh, yeah, I forgot to tell you that I take clopidogrel, or Plavix. What action by the nurse is most important?
 
  a. Ask the client when the last dose was.
  b. Check results of the prothrombin time (PT) and international normalized ratio (INR).
  c. Document the information in the chart.
  d. Notify the surgeon immediately.

[aruss1303]

Answer to Question 1

ANS: A
Glaucoma is caused when the intraocular pressure becomes too high and stays high long enough to cause tissue ischemia and death. At that point, vision loss is permanent. Glaucoma does not have to cause blindness. Trauma can cause glaucoma but is not the most common cause. Glaucoma is not an infection.

Answer to Question 2

ANS: D
Clopidogrel is an antiplatelet aggregate and could increase bleeding. The surgeon should be notified immediately. The nurse should find out when the last dose of the drug was, but the priority is to notify the provider. This drug is not monitored with PT and INR. Documentation should occur but is not the priority.

[james]

Gracias!

[peter]

Thanks for the timely response, appreciate it