What should the nurse suspect a patient is developing when he is observed holding his Bible 6 inches from his face and turns his head to read out of the corner of his eyes?
Glaucoma
Cataracts
Macular degeneration
Presbyopia
The Correct Answer is C
A. Glaucoma
In glaucoma, peripheral vision is lost first, so people look straight ahead and miss things to the side. Not consistent with looking out of the corner of the eyes.
B. Cataracts
Cataracts cause overall blurry vision, not central vision loss. People may complain of glare or faded colors.
C. Macular degeneration
Involves loss of central vision, leading the person to use peripheral vision (look from the corner of the eye) and hold objects very close.
D. Presbyopia
Affects the ability to focus on near objects, common with aging, but does not cause the person to use peripheral vision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rapid blood flow through the liver
Blood flow to the liver actually decreases with age, which may impair drug metabolism, not accelerate it.
B. Decreased liver enzyme activity
Liver enzyme activity declines with age, reducing the liver’s ability to metabolize drugs, increasing the risk for toxicity.
C. Fluid accumulation in the portal vein
This is associated with portal hypertension in liver disease, not a normal age-related change.
D. Increased liver size
The liver tends to decrease in size and mass with age, not increase.
Correct Answer is D
Explanation
A. Medical diagnosis
Important, but does not reflect the individual's day-to-day abilities and care needs.
B. Activities of daily living (ADLs)
ADLs are part of a functional assessment but not comprehensive alone.
C. Community resources
Help support care but are not the primary basis for determining care needs.
D. Functional assessment
Evaluates the older adult's ability to perform ADLs and instrumental ADLs, guiding personalized care planning.
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