An older adult client with bilateral cataracts, arthritis, and a ...

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An older adult client with bilateral cataracts, arthritis, and a hearing deficit is scheduled for cataract surgery. Which is the priority nursing diagnosis for this client?
 
  A) Disturbed Sensory Perception: Visual
  B) Decisional Conflict
  C) Risk for Ineffective Health Maintenance
  D) Ineffective Coping

Question 2

The mother of a premature newborn asks the nurse why the baby's eyes are cloudy. Which response by the nurse is appropriate?
 
  A) It is because of an allergic reaction.
  B) It happens with most newborns.
  C) It is because you developed an illness while carrying the baby before birth.
  D) It is seen with premature infants.

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Answer to Question 1

Answer: C

The client has arthritis, which is a chronic condition and may interfere with the client's ability to manage self-care and postoperative care after cataract removal. Risk for Ineffective Health Maintenance is the diagnosis with the highest priority for the client at this time. There is no evidence to suggest the client is not coping or is experiencing decisional conflict regarding the removal of the cataracts. The client does have disturbed sensory perception; however, the postoperative care is the highest priority at this time.

Answer to Question 2

Answer: D

Some cataracts, present at birth or acquired, are due to retinopathy of prematurity, metabolic diseases such as galactosemia, or long-term use of corticosteroids. The nurse should explain that cataracts are seen in babies who are premature. Cataracts are not seen with most newborns. At one time, a major cause of congenital cataracts was congenital rubella syndrome; however, now that children and women receive rubella vaccine, there are very few cases of cataracts due to congenital rubella syndrome. Cataracts are not caused by an allergic reaction.

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Thank you

[nothere]

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