A nurse is providing education for a client with glaucoma. Which of the following statements should the nurse include in the teaching?
Use of eye drops will improve vision over time.
Double vision is a common symptom of glaucoma.
Glaucoma is caused by inadequate production of fluid within the eye.
Without treatment, glaucoma can cause blindness.
The Correct Answer is D
Choice A rationale
Use of eye drops helps manage intraocular pressure but does not improve vision over time. The goal is to prevent further vision loss.
Choice B rationale
Double vision is not a common symptom of glaucoma. Glaucoma typically affects peripheral vision first.
Choice C rationale
Glaucoma is caused by increased intraocular pressure, not inadequate production of fluid within the eye.
Choice D rationale
Without treatment, glaucoma can cause blindness. It is essential to manage the condition to prevent vision loss.
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Correct Answer is B
Explanation
Choice A rationale
Electrical cords placed along the walls are generally not a safety risk as long as they are secured and not in the walking path. This placement can actually reduce tripping hazards.
Choice B rationale
Scatter rugs are a significant safety risk for older adults with decreased vision. They can easily cause tripping and falls, which can lead to serious injuries.
Choice C rationale
Handrails in the bathroom are a safety feature that helps prevent falls and provides support for individuals with decreased vision or mobility issues.
Choice D rationale
Using a microwave for cooking is generally safe for older adults with decreased vision as it reduces the risk of burns and accidents associated with stovetop cooking.
Correct Answer is D
Explanation
Choice A rationale
Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.
Choice B rationale
Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.
Choice C rationale
While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.
Choice D rationale
Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .