The nurse is assessing an African American adult client who is experiencing visual changes. Which question to the client is the priority?
1. "Have you or anyone in your family ever been diagnosed with diabetes?"
2. "Do you wear sunglasses when you are outside?"
3. "Did your mother have a vaginal infection at the time of your delivery?"
4. "Do you see any halos around lights?"
Correct Answer: 1
Diabetic retinopathy is the leading cause of blindness in the United States. It is important for the nurse to determine if the client has a personal or family history of diabetes. Type 2 diabetes occurs more frequently in African Americans, Asian Americans, Hispanic Americans, and Native Americans than in Caucasian clients. This will assist the nurse to determine if the client may be suffering visual changes as a result of diabetic retinopathy. The nurse can ask about the client's behaviors to determine his risk of developing problems associated with ultraviolet radiation. When the nurse is assessing an infant, the nurse should inquire about whether the mother of the infant had a vaginal infection at the time of delivery because this can result in eye infections in the newborn. Clients who see halos around lights may be suffering from glaucoma and increased intraocular pressure.
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