1. An elderly patient asks the nurse what caused his cataract. The nurse’s response should be based on which of
the following?
a. Cataracts are most
... [Show More] common in the elderly.
Causes of cataracts include: age, trauma, use of corticosteroids, phenothiazines, or miotic agents, and
is r/t some diseases
2. The nurse cares for the client who is in the health care provider’s office two days after a cataract extraction.
The client is hysterical and says, “My vision is blurry. I am going blind.” Which is the BEST way for the nurse
to respond to the client?
a. Remind the client that vision will not stabilize until a few weeks after surgery.
Client’s vision will not return to normal for a few weeks after surgery; visual acuity improves with
time and healing
3. The client has signs and symptoms of cataracts. Which does the nurse expect the client to report?
a. Painless, blurry vision.
As the lens of the eye becomes opaque, it scatters light instead of transmitting a sharply focused
image; result is a disabling glare, dimmed or blurred vision, distorted image, and poor night vision
4. The client care for the client diagnosed with cataracts. Which assessment finding should the nurse expect to
observe?
a. Yellowish--‐grey pupils.
Opaque lens in cataracts makes the pupils appear yellowish--‐grey
5. A patient has a cataract. What does the nurse expect the patient to complain about?
a. Blurred vision
Symptoms of cataracts: blurred vision, annoying glare, and pupils changing from black to gray to
milky white
HEARING IMPAIRED: important to enhance communication by positioning self directly in front of client,
converse in a well--‐lit, quiet room, make sure client knows the nurse is speaking, speak clearly and slowly, do not
shout, keep hands and other objects away from mouth when speaking, ask client to repeat statements, use
appropriate hand motions, write message down if client is able to read
6. An elderly patient has a severe hearing deficit. Which characteristic is the patient MOST likely to show?
a. The patient is suspicious of the other people.
A severe hearing deficit may render an elderly patient suspicious of other people; patient can’t
communicate well with other people and therefore may become suspicious of them
7. An older client is admitted to the hospital for treatment of a fractured femur. The client’s spouse tells the
nurse that the client has difficulty hearing. The nurse develops a plan of care for the client. What kind of
opportunity does the plan of care provide for the client?
a. Social interaction.
In late adulthood, social interaction is important to maintain the patient’s self--‐esteem; the nurse
should provide for social interaction when making a plan of care for an older adult [Show Less]