Question

18. Which statement would most likely lead to a diagnosis of cataracts? a. A 75-year-old woman who states: "Mv vision has gotten cloudy over the last few years." b. A 20-year-old diabetic who states: "I've got blurred vision." A 65-year-old man who states: "I've got this black spot in the middle of my vision." The son of an 80-year-old who states: "My dad has been dizzy for a few hours, and look how his eyeballs are going back and forth! Weird, dude!" 19. A patient states: "This headache began suddenly and is the worst headache I've ever experienced!" The patient is also complaining of light intolerance and nausea and the nurse notices that they cannot hold their arms out in front of them at shoulder height without the left arm beginning to drift downward. Based on these signs and symptoms, which statement is true. The patient may be having a hemorrhagic stroke and will need a CT scan. b. The patient may have Parkinson's disease and be at an increased risk for falling. The patient may have a migraine and need education about trigger avoidance. d. The patient may be having a transient ischemic attack and need monitoring for the resolution of their symptoms. a. 20. A nurse suspects that a patient is having a stroke. Which of these choices reflects the first step in assessing a patient for a stroke? a. The nurse assesses the patient's muscle strength and movement by asking them to push down on her hands with their feet. The nurse checks the patient's vital signs and asks the patient with several questions to assess the patient's orientation. The nurse looks at the patient's face to assess for facial drooping and asks them to raise their eyebrows. The nurse assesses the patient for their ability to cough and swallow normally. d.

Answer 1

18.Answer:A 75 year old women states:My vision has got cloudy over the last few years.

cloudy vision is the important sign of cataract.It occurs due to the opacity of the lens.It cause cloudy or whitish appearance in the lens.So the client experience cloudy vision.

b. blurred vision can be due uncontrolled diabetes.

c. Presence of black spot is not the symptom of cataract.

d.Dizziness and abnormal movement of eyeball is also can be a symptom of neurological disorder.

19.Answer:the patient may be having a hemorrhagic stroke and will need a CT scan.

b.parkinson's disease have signs of changes in movement or abnormal movement.

c.Migraine headache have headache,nausea and photo sensitivity but no weakness occur.

d.It can also be a  ischemic attack but the symptoms cannot be resolved without any intervention.

20.Answer: The nurse checks vital signs and asks the patient with several question to assess the patient's orientation.

Checking vital signs stabilize the client is the important life saving measure to perform first.

option a,b,d are neurological assessment can be done after checking orientation to find the level of defect.