An older adult client with bilateral cataracts, arthritis, and a hearing deficit is scheduled for cataract surgery. Which is the priority nursing diagnosis for this client?
A) Disturbed Sensory Perception: Visual
B) Decisional Conflict
C) Risk for Ineffective Health Maintenance
D) Ineffective Coping
Answer: C
The client has arthritis, which is a chronic condition and may interfere with the client's ability to manage self-care and postoperative care after cataract removal. Risk for Ineffective Health Maintenance is the diagnosis with the highest priority for the client at this time. There is no evidence to suggest the client is not coping or is experiencing decisional conflict regarding the removal of the cataracts. The client does have disturbed sensory perception; however, the postoperative care is the highest priority at this time.
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