Author Question: During examination of the eyes, dilation of the pupil is needed to check for: A. Distance vision ... (Read 63 times)

piesebel · **on:** Jun 25, 2018

During examination of the eyes, dilation of the pupil is needed to check for:

A. Distance vision
B. Macular degeneration
C. Cataracts
D. Peripheral vision

Question 2

The most common reason for functional decline in nursing home patients is:

A. Heart failure
B. Stroke
C. Urinary tract infection
D. Myocardial infarction

ecox1012 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
An examination of the eyes should always include measuring ocular pressure to rule out glaucoma, which is a serious cause of blindness and is more common with aging; screening for close and distance vision, particularly when there are questions related to driving or medication-taking ability; dilating the pupil to examine the retina for macular degeneration, a common cause of blindness in the elderly; and screening for cataracts, also increasingly common with age. Referral to an optometrist or an ophthalmologist is ideal and may be covered by Medicare and other insurance, depending on the diagnosis.

Answer to Question 2

ANS: C
Clinical practice guidelines suggest that in 77 of episodes of functional decline in long-term care residents, infection is the cause, and the most frequent site of such infection is the urinary tract (55).