A patient is reading a large-print magazine and states that ...

[cdr_15]

A patient is reading a large-print magazine and states that reading is difficult for her in the evening. Which intervention should the nurse implement?
 
  a. Put a high-intensity lamp at the head of her bed.
  b. Explain to her that the gray-yellow ring around her cornea, arcus senilis, is inter-fering with visual acuity.
  c. Put more powerful tubes in the fluorescent room lights.
  d. Examine her retinas for signs of damage.

Question 2

When caring for an older man patient, the nurse is aware that which changes are associated with the male reproductive system and aging? (Select all that apply.)
 
  a. Testes soften c. Sperm count de-creases
  b. Seminiferous tu-bules thicken d. Ejaculation is slower

[joneynes]

Answer to Question 1

A

Feedback
A Correct. The pupil becomes gradually smaller with age, so the eye requires 3 times as much light. A high-intensity light on the object of interest is more ef-fective than increasing overall room illumination.
B Incorrect. Arcus senilis does not affect vision.
C Incorrect. A high-intensity light on the object of interest is more effective than increasing overall room illumination.
D Incorrect. The patient is describing a gradual overall change, not the more loca-lized or sudden effects of macular degeneration or retinal detachment.

Answer to Question 2

A, B, D
Although men have the ability to produce sperm throughout their lives, they also experience changes in the functioning of the reproductive and the urogenital organs in later life. The changes are usually more subtle and noticed only as they accumulate, beginning when men are in their 50s. The testes atrophy and soften. The seminiferous tubules thicken, and obstruction caused by sclerosis and fibrosis can occur. Although sperm count does not decrease, fertility may be re-duced because of a higher number of sperm lack motility or have structural abnormalities. Erectile changes are also seen; more stimulation is needed to achieve a full erection, ejaculation is slower and less forceful, and refractory periods are longer.