A 72-year-old man visits the eye clinic reporting that things look distorted in the center of his vision, straight lines appear wavy. colors seem dull, and he has difficulty recognizing faces. These symptoms have developed gradually over several months. He denies any trauma or previous eye surgery. Based on these symptoms, which nursing action is most appropriate?
Explanation & Rationale
A. Reassure the client that central vision changes are normal in aging and recommend sunglasses for brightness sensitivity: Central vision loss and distortion are not normal with aging and require evaluation. B. Notify the provider and prepare the client for further evaluation for macular degeneration: Classic presentation of age-related macular degeneration (distortion, dull colors, central vision loss). Needs referral. C. Educate the client about using artificial tears and warm compresses to relieve visual discomfort: Artificial tears help dry eye, but they do not address central vision distortion. D. Instruct the client to increase ambient lighting and schedule a hearing evaluation: More lighting may help vision strain but does not treat macular degeneration; hearing assessment unrelated.