Question

A registered nurse assesses a client's electronic medical record (EMR) and observes increased blood pressure, severe myopia, and blood glucose levels. Which type of eye disorder will the nurse most likely observe written in the EMR?

1. Cataract
2. Glaucoma
3. Corneal abrasions
4. Keratoconjunctivitis sicca

Answer 1

A nurse observing symptoms of increased blood pressure, severe myopia, and high blood glucose levels in a client's EMR should most likely expect glaucoma to be documented, as these symptoms are associated with elevated intraocular pressure, which is a key risk factor for glaucoma.

Step-by-step explanation:

The registered nurse assessing the client's electronic medical record (EMR) which shows increased blood pressure, severe myopia, and high blood glucose levels should be aware that these symptoms are often associated with glaucoma. Glaucoma is a condition where the intraocular pressure in the eyes is elevated, which can lead to optic nerve damage and loss of vision if not treated. Since myopia is linked to a higher risk for developing glaucoma and the documentation of increased blood pressure and blood glucose levels can suggest a broader context of cardiovascular and metabolic issues that often coexist with glaucoma, it is the eye disorder that the nurse would most likely observe in the EMR among the provided options.

It is also important to remember that individuals over 40 years of age are at greater risk for glaucoma, and their intraocular pressure should be tested routinely. This pressure testing often involves a puff of air directed at the eye, where a higher intraocular pressure indicates a lower level of eye deformation and increased likelihood of glaucoma.