The nurse notes during assessment and history taking that the ...

[maegan_martin]

The nurse notes during assessment and history taking that the older client exhibits visual changes. Which of the following are normal age-related changes of the eye? Select all that apply.
 
  1. Ptosis
  2. Photophobia
  3. Corneal thickening
  4. Decreased visual acuity
  5. Decreased tolerance of glare
  6. Decreased peripheral vision

Question 2

The nurse provides which instructions to the client following delivery regarding care of the episiotomy site to prevent infection? Select all that apply.
 
  1. Change the perineum pads three times a day.
  2. Take a warm sitz baths three times a day.
  3. Wipe the perineum from front to back after voiding and defecation.
  4. Use warm water to rinse the perineum after elimination.
  5. Report a foul-smelling discharge.

[mirabriestensky]

Answer to Question 1

4, 5, 6

Rationale: Normal age-related visual changes include decreases in visual acuity, peripheral vision, and tolerance of glare, and difficulty in adapting to dark and light. Ptosis, photophobia, and corneal thickening are not normal age-related changes.

Answer to Question 2

2, 3, 4, 5

Rationale: Warm sitz baths and cleansing with warm water are helpful for relieving pain, and these measures will promote cleanliness in the perineal area to prevent infection. The client should also be instructed to wipe the perineum from front to back after voiding and defecation to decrease the risk for contamination with microorganisms from the anus to the vagina. Warm wa-ter should be used to rinse the perineum after elimination. The client also should be instructed that the perineal pad should be changed after each elimination and may be changed in between.

[maegan_martin]

Excellent

[bulacsom]

TYSM