The nurse is obtaining a history from a client recently diagnosed ...

[Jramos095]

The nurse is obtaining a history from a client recently diagnosed with open-angle glaucoma. When the nurse asks about symptoms, the client is most likely to respond:
 
  1. I began to notice colored halos around lights.
  2. I noticed that my vision seemed wavy and blurred.
  3. I had severe eye and facial pain, and I became nauseated.
  4. I had no symptoms of pain or pressure in my eyes.

Question 2

Which nursing diagnosis should receive highest priority when caring for a client being treated for glaucoma?
 
  1. Noncompliance related to adverse effects of medications
  2. Self-Care Deficit: Feeding related to decreased peripheral vision
  3. Health Maintenance, Ineffective related to lack of knowledge of disease and pharmacological management
  4. Injury, Risk for related to blurred vision secondary to medications

[sarajane1989]

Answer to Question 1

Correct Answer: 4
Rationale 1: This is not a symptom of open-angle glaucoma.
Rationale 2: Blurred vision is not a symptom of open-angle glaucoma.
Rationale 3: Severe eye and facial pain associated with nausea and vomiting is not a symptom of open-angle glaucoma.
Rationale 4: There are usually no symptoms associated with open-angle glaucoma because it occurs gradually.
Global Rationale: There are usually no symptoms associated with open-angle glaucoma because it occurs gradually. The remaining findings are associated with closed-angle glaucoma.

Answer to Question 2

Correct Answer: 4
Rationale 1: Noncompliance might become a concern if the client experiences more adverse side effects than the symptoms from glaucoma. This would require further education, but that might not be necessary immediately.
Rationale 2: The loss of peripheral vision should not affect the client's ability to feed self. Clients can be taught to move their heads to keep items on a plate in view.
Rationale 3: It will be important for the client with glaucoma to understand the disease and the need for long-term drug therapy if surgical treatments are not being considered. However, this would not be the highest priority for the client.
Rationale 4: Many of the medications used for glaucoma cause blurred vision. This would increase the risk of injury if the client fell or tried to carry out activities without adequate vision. This is a priority and would need to be addressed first.
Global Rationale: Many of the medications used for glaucoma cause blurred vision. This would increase the risk of injury if the client fell or tried to carry out activities without adequate vision. This is a priority and would need to be addressed first. It will be important for the client with glaucoma to understand the disease and the need for long-term drug therapy if surgical treatments are not being considered. However, this would not be the highest priority for the client. Noncompliance might become a concern if the client experiences more adverse side effects than the symptoms from glaucoma. This would require further education, but that might not be necessary immediately. The loss of peripheral vision should not affect the client's ability to feed self. Clients can be taught to move their heads to keep items on a plate in view.

[Jramos095]

Excellent

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