Nur 160 Fundamentals Exam (examplify) Proctored Exam
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Nur 160 Fundamentals Exam (examplify) Proctored Exam
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Question: 1 of 72Nur 160 Fundamentals Exam (Examplify) Proctored Exam
A client's intraocular pressure (IOP) is measured at 28 mmHg during a routine eye exam. Which interpretation should the nurse make?
Explanation
Rationale: A. This option is incorrect because an IOP of 28 mmHg is not an expected or normal finding. Normal intraocular pressure typically ranges from 10 to 21 mmHg. A reading above this range requires further evaluation and follow-up, especially to rule out chronic eye conditions such as glaucoma. B. An acute eye injury may cause changes in intraocular pressure, but elevated IOP alone does not indicate acute trauma. Acute injuries are usually associated with pain, redness, visual changes, or a clear history of trauma, none of which are indicated in the scenario. Therefore, this interpretation is not supported by the information provided. C. This option is incorrect because an IOP of 28 mmHg exceeds normal limits. Calling this value normal would delay necessary assessment and intervention and place the client at risk for optic nerve damage. D. This option is correct because an intraocular pressure of 28 mmHg is significantly elevated and is a key risk factor for glaucoma. Persistent elevation of IOP can damage the optic nerve, leading to progressive, irreversible vision loss if not identified and managed early. Recognizing elevated IOP allows for prompt referral, monitoring, and treatment to prevent complications.
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