The nurse is assessing a 75-year-old patient. Which patient report would require immediate action by the nurse?
1. occasional presence of floaters
2. greater need for additional light and reading glasses
3. development of a white circle around the iris
4. frequent falls from tripping over items on the floor
Correct Answer: 4
Excessive falling down can represent changes in vision sufficient to alter the field of vision. Depth perception changes and adaptation to changes in light represent a need for immediate additional assessments. Floaters are often seen by older patients and are related to debris or condensation when the vitreous body pulls away from the retina. Unless excessive, with vision suddenly greatly impaired, floaters are not an urgent problem. Near vision accommodation is gradually lost as elasticity declines and presbyopia (a common problem in older patients) develops with aging. This is not an urgent problem. White circles around the iris of the eye (arcus senilis) are caused by lipid deposits through a gradual process that does not require immediate care.
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