A nurse is assessing the eye changes in a 68-year-old female. Which of the following changes suggest the need for physician consultation? (Select all that apply.)
A. Increasing difficulty perceiving greens, blues, and violets
B. Increasing redness in eyes
C. Arcus senilis
D. Acute pain in the eyes
E. Sudden change in acuity
F. Need for additional lighting for readingG. Need to hold newspaper farther away to read
B, D, E
Rationale: Increasing redness, acute pain, and sudden changes in acuity represent manifestations that might be indicative of a more serious complication and need physician evaluation. Delay could cause harm. The other signs are associated with the aging process and do not require im-mediate evaluation.
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