An older adult patient has been diagnosed with macular degeneration and the nurse is assessing him for changes in visual acuity since his last clinic visit
When assessing the patient for recent changes in visual acuity, the patient states that he sees the lines on an Amsler grid as being distorted. What is the nurse's most appropriate response?
A) Ask if the patient has been using OTC vasoconstrictors.
B) Instruct the patient to repeat the test at different times of the day when at home.
C) Arrange for the patient to visit his ophthalmologist.
D) Encourage the patient to adhere to his prescribed drug regimen.
Ans: C
Feedback:
With a change in the patient's perception of the grid, the patient should notify the ophthalmologist immediately and should arrange to be seen promptly. This is a priority over encouraging drug adherence, even though this is also important. Vasoconstrictors are not a likely cause of this change and repeating the test at different times is not relevant.
You might also like to view...
A client has constant thoughts about locking his front door every time he leaves his house. This client is experiencing a(n):
a. Compulsion b. Phobia c. Obsession d. Anxiety reaction
A multidisciplinary health care team operates a program aimed at the prevention, identification, and treatment of diabetes on a large Indian reservation
Which of the following aspects of the program would be most likely to be classified as secondary prevention? A) Regularly scheduled wound dressing changes for clients who have foot ulcers secondary to peripheral neuropathy and impaired wound healing B) Teaching school children how a nutritious, traditional diet can lessen their chances of developing adult-onset diabetes C) Staffing a booth where community residents who are attending a baseball tournament can have their blood glucose levels checked D) Administering oral antihyperglycemic medications to clients who have a diagnosis of diabetes
While assessing her patient, what does the nurse interpret as a positive sign of pregnancy?
a. Fetal movement felt by the woman b. Amenorrhea c. Breast changes d. Visualization of fetus by ultrasound
A woman currently uses a diaphragm and spermicide for contraception. She asks the nurse what the major differences are between the cervical cap and diaphragm. The nurse's most appropriate response is
a. "No spermicide is used with the cervical cap, so it's less messy." b. "The diaphragm can be left in place longer after intercourse." c. "Repeated intercourse with the diaphragm is more convenient." d. "The cervical cap can safely be used for repeated acts of intercourse without adding more spermicide later."