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    Ati rn adult medical surgical 2023 proctored exam

    A nurse is assessing an older adult client at a health fair. Which of the following statements by the client is the nurse's priority?

    Explanation & Rationale

    Rationale: A. "I can't seem to get reading materials far enough away to see the words." This statement may indicate presbyopia, which is a common age-related change in vision. It does not require immediate intervention, though corrective lenses may help. B. "I'm having more difficulty telling the difference between blues and greens." This could indicate age-related changes in color vision or cataracts, which is common but not immediately concerning. It does not represent an urgent need for intervention. C. "I've noticed that there is a gray ring around the colored part of my eye." This could suggest a cataract, which is common in older adults. However, it is a chronic condition that progresses slowly and is not an emergency. D. "In the last day, I have had a severe headache and pain around my right eye." This is a priority, as it could indicate acute angle-closure glaucoma, a medical emergency that requires immediate attention to prevent permanent vision loss. Symptoms include severe headache, eye pain, nausea, and blurred vision, all of which need urgent assessment and intervention.

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