When conducting an assessment of an older patient's eyes, you expect to see which of the following normal age-related changes of the external eye? (Select all that apply.)
The lower lid may be turned outward
The eyes are very dry
The eyelids are less elastic and droopy
The eyelids may not close completely
There is a loss of eyelashes
Correct Answer : A,C,D
A. Ectropion, where the lower eyelid turns outward, is a common age-related change due to weakened eyelid muscles.
B. While dry eyes can occur with age, this is not always considered a normal part of aging—it may indicate dry eye syndrome and warrant treatment.
C. Eyelid drooping and loss of elasticity (dermatochalasis) are normal changes that occur as the skin loses collagen and tone with age.
D. Incomplete eyelid closure (lagophthalmos) can occur due to muscle weakness, a normal age-related change, which may increase the risk of dry eyes and irritation.
E. Loss of eyelashes is not a typical or expected age-related change; while lashes may become thinner or lighter, significant loss is not considered normal and may indicate another condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
While some changes in vision are common with aging—such as difficulty focusing on close objects (presbyopia), slower adaptation to light changes, or needing more light to see—vision loss is not inevitable. Many serious eye conditions (e.g., cataracts, glaucoma, macular degeneration) are not a normal part of agingand can often be prevented, treated, or managedwith regular eye care. Early detection and proper treatment can help preserve vision well into old age.
Correct Answer is A
Explanation
A. Cataractscommonly cause symptoms such as blurred vision, halos around lights, and a yellow or faded tintto colors. These changes occur due to the clouding of the lens in the eye.
B. Age-related macular degenerationtypically affects central vision and causes straight lines to appear wavy or a blind spot in the central visual field, but not halos or yellow tinting.
C. Glaucomamay cause halos around lightsin some cases, especially with acute angle-closure glaucoma, but it is more commonly associated with peripheral vision loss, not color changes.
D. Diabetic retinopathycauses vision changes due to damage to retinal blood vessels, but halos and yellow tintingare not primary symptoms.
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