An elderly client tells the nurse that she reads the paper better ...

[LCritchfi]

An elderly client tells the nurse that she reads the paper better when the paper is off to the left or the right. The nurse realizes this client is demonstrating signs of which of the following:
 
  1. Cataract
   2. Macular degeneration
   3. Vision changes from a stroke
   4. Floaters

Question 2

Your client is receiving morphine for his metastatic prostate cancer. You know that the morphine is mediated by which receptor?
 
  1. opioid
  2. mu
  3. kappa
  4. delta

[eliasc0401]

Answer to Question 1

2. Macular degeneration

Rationale:
Evidence of macular degeneration is blurred central vision with peripheral vision intact. Using peripheral vision to be able to read the paper is evidence of macular degeneration. Cloudy vision is seen with cataracts. There is not enough information to determine if the client is having vision changes from a stroke. Floaters are benign, dark spots that appear in the field of vision and usually do not need to be treated unless they create blind spots.

Answer to Question 2

ANS: 2

[LCritchfi]

Excellent

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