When assessing the patient's vision, the nurse should understand ...

[Tazate]

When assessing the patient's vision, the nurse should understand that older adults may report common aging changes, including which of the following? (Select all that apply.)
 
  a. My eyelids droop so unattractively.
  b. The whites on my eyes seem a bit yel-low.
  c. The vision in my right eye seems blurry.
  d. I've started to use over-the-counter eye moisturizing drops.
  e. I have noticed the night driving has be-come more difficult.

Question 2

A patient with glaucoma is on timolol (Timoptic). The patient also takes metoprolol (Toprol) for hypertension. The patient reports to the clinic nurse that the eyedrops Make me dizzy. What assessment by the nurse is most appropriate?
 
  a. Assess the patient's eyedrop instillation technique.
  b. Determine how long the patient has been on the drops.
  c. Assess the patient's gait and balance while walking.
  d. Ask the patient if breakfast is eaten prior to applying the eyedrops.

[tennis14576]

Answer to Question 1

A, B, D, E
The eyelids lose tone and become lax, which may result in ptosis of the eyelids, redundancy of the skin of the eyelids, and malposition of the eyelids. The conjunctiva thins and yellows in ap-pearance. In addition, this membrane may become dry because of the diminished quantity and quality of tear production. Peripheral vision decreases, night vision diminishes, and sensitivity to glare increases.

Answer to Question 2

A
The patient should be using punctal occlusion (closing the lacrimal duct) when instilling these eyedrops to avoid a cumulative, systemic effect from the combination of both beta-blockers. The nurse can assess the other factors as well, but this is the most likely cause of the dizziness.

[Tazate]

TYSM

[amcvicar]

Thanks for the timely response, appreciate it