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","C","D","F"]
Explanation
Choice A rationale
Increased awareness is not a manifestation of anaphylactic shock. Anaphylactic shock typically causes confusion or loss of consciousness due to decreased blood flow to the brain.
Choice B rationale
Chest pain can occur during anaphylactic shock due to the body’s severe allergic reaction and the strain it places on the cardiovascular system.
Choice C rationale
Dyspnea, or difficulty breathing, is a common manifestation of anaphylactic shock. The airways can become constricted, making it hard to breathe.
Choice D rationale
Angioedema, or swelling of the deeper layers of the skin, often occurs during anaphylactic shock. It can affect the face, throat, and other areas.
Choice E rationale
Hypertension, or high blood pressure, is not a typical manifestation of anaphylactic shock. Anaphylactic shock usually causes hypotension, or low blood pressure.
Choice F rationale
Urticaria, or hives, is a common skin reaction during anaphylactic shock. It presents as red, itchy welts on the skin.
Correct Answer is C
Explanation
Choice A rationale
Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.
Choice B rationale
Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.
Choice C rationale
Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.
Choice D rationale
Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.