The nurse working in the vision and hearing clinic receives telephone calls from several patients who want appointments in the clinic as soon as possible. Which patient should be seen first?
a. 71-year-old who has noticed increasing loss of peripheral vision
b. 74-year-old who has difficulty seeing well enough to drive at night
c. 60-year-old who has difficulty hearing clearly in a noisy environment
d. 64-year-old who has decreased hearing and ear "stuffiness" without pain
ANS: A
Increasing loss of peripheral vision is characteristic of glaucoma and the patient should be scheduled for an examination as soon as possible. The other patients have symptoms commonly associated with aging: presbycusis, possible cerumen impaction, and impaired night vision.
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