A 56-year-old patient has come to the clinic for his routine eye examination and is told he needs bifocals. The patient asks the nurse what in his eye has changed so that he needs bifocals. What should the nurse respond?
A) You know, you are getting older now, and we change as we get older.
B) The parts of our eyes age, just like the rest of us.
C) There is a gradual thickening of the lens of the eye, and it can limit accommodation of the eye.
D) The eye gets shorter, back to front, as we age, and it changes how we see things.
Question 2
A nurse practitioner is aware of the high incidence and prevalence of hypothyroidism and regularly encourages many patients to undergo screening of their thyroid secreting hormone (TSH) levels.
Which of the following individuals likely faces the greatest risk of developing hypothyroidism?
A) A 49-year-old man who works in an iron smelter
B) A 55-year-old woman who complains of fatigue
C) A 30-year-old man with poorly controlled type 2 diabetes
D) A 71-year-old man who has experienced nausea and vomiting secondary to influenza
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