Author Question: An older resident in a long-term care facility reports to the nurse that she has been noticing ... (Read 81 times)

madam-professor · **on:** Jul 11, 2018

An older resident in a long-term care facility reports to the nurse that she has been noticing changes in her vision, including the appearance of halos around objects and a yellow tint to most objects.

The nurse knows that these complaints are most often associated with:
a. cataracts.
b. glaucoma.
c. diabetic retinopathy.
d. age-related macular degeneration.

Question 2

An older adult client shares with the nurse that, I don't know what it is but it seems that I need more light for reading or even watching television as I get older. The nurse explains that aging may cause this change due to the:

a. slower ability of the pupil to adjust to changes in lighting.
b. impact arcus senilis has on visual acuity
c. flattening and thinning of the cornea.
d. retinal changes that begin to occur with aging.

durant1234 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
Signs of cataracts include the appearance of halos around objects as light is diffused, blurring, decreased perception of light and color giving a yellow tint to most objects, and a sensitivity to glare.

Answer to Question 2

ANS: A
A slowed ability of the pupil to accommodate to changes in light accounts for the need of this patient to have more light in order to read. Arcus senilis does not affect vision. It is true that the cornea becomes flatter and thinner with aging, which results in astigmatism. Astigmatism does not account for the need for increased light that this patient is reporting. The changes in the retina do not account for the need for increased light that this patient is reporting.