Which action should the nurse take when providing patient ...

[asd123]

Which action should the nurse take when providing patient teaching to a 76-year-old with mild presbycusis?
 
  a. Use patient education handouts rather than discussion.
  b. Use a higher-pitched tone of voice to provide instructions.
  c. Ask for permission to turn off the television before teaching
  d. Wait until family members have left before initiating teaching.

Question 2

The nurse in the eye clinic is examining a 67-year-old patient who says I see small spots that move around in front of my eyes. Which action will the nurse take first?
 
  a. Immediately have the ophthalmologist evaluate the patient.
  b. Explain that spots and floaters are a normal part of aging.
  c. Inform the patient that these spots may indicate retinal damage.
  d. Use an ophthalmoscope to examine the posterior eye chambers.

[karlss]

Answer to Question 1

ANS: C
Normal changes with aging make it more difficult for older patients to filter out unwanted sounds, so a quiet environment should be used for teaching. Loss of sensitivity for high-pitched tones is lost with presbycusis. Because the patient has mild presbycusis, the nurse should use both discussion and handouts. There is no need to wait until family members have left to provide patient teaching.

Answer to Question 2

ANS: D
Although floaters are usually caused by vitreous liquefaction and are common in aging patients, they can be caused by hemorrhage into the vitreous humor or by retinal tears, so the nurse's first action will be to examine the retina and posterior chamber. Although the ophthalmologist will examine the patient, the presence of spots or floaters in a 65-year-old is not an emergency. The spots may indicate retinal damage, but the nurse should assess the eye further before discussing this with the patient.

[asd123]

Thank you

[karlss]

No problemo