Author Question: A nurse is conducting an assessment of an older patient's eyes. The nurse expects to see which of ... (Read 62 times)

meagbuch · **on:** Jul 11, 2018

A nurse is conducting an assessment of an older patient's eyes. The nurse expects to see which of the following normal age-related changes of the external eye? (Select all that apply.)

a. The eyelids are less elastic and droopy
b. The eyes are very dry
c. The eyelids may not close completely
d. There is a loss of eyelashes
e. The lower lid may be turned outward

Question 2

An older client reports to a nurse, My daughter says there is something wrong with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78 years old. What does she ex-pect?

I noticed that at Christmas dinner, with all the racket around, I had some trouble. I think it is that my granddaughters mumble a lot, just like all young people. I guess it has been getting steadily worse; it seems to be both ears as well. Based on the client's description, the nurse suspects which of the following?
a. Presbycusis
b. Otosclerosis
c. Tinnitus
d. A perforated eardrum

katieost · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B, C, E
Normal age-related changes in the external eye include a loss of elasticity causing drooping. Eyes become drier, and the eyelids may not close completely. Decreases in orbital muscle strength may result in entropion, the outward turning of the lower lid. Loss of eyelashes is not a normal age-related change.

Answer to Question 2

ANS: A
Presbycusis is a type of sensorineural hearing loss. It is slow and progressive and often ignored by older adults and considered normal aging. Symptoms include difficulty filtering background noise and understanding women and children's voices. Individuals often accuse people of mum-bling. Often, it is recognized by others first, before the affected person notices it. Otosclerosis is a cause of conductive hearing loss, as is a perforated eardrum. Tinnitus is a perception of sound in one or both ears where no external sound is present.