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    Ati Rn Adult Medical Surgical 2023 Proctored Exam

    A nurse is providing teaching for a client who has age-related macular degeneration. Which of the following information should the nurse include in the teaching?

    Explanation & Rationale

    Rationale: A. "You probably have a detachment of your retina.": Retinal detachment involves the separation of the retina from the underlying tissue and typically presents with sudden flashes of light, floaters, or a shadow in the visual field. Age-related macular degeneration (AMD) primarily affects the macula and central vision, not the entire retina. B. "A possible cause of this problem is a long-term lack of dietary protein.": Nutritional deficiencies, including protein deficiency, do not directly cause AMD. Risk factors for AMD include age, family history, smoking, hypertension, and excessive sunlight exposure. While proper nutrition can support eye health, protein intake is not specifically linked to AMD. C. "You probably have noticed a decline in your central vision.": AMD affects the macula, the central portion of the retina responsible for sharp, detailed vision. Clients often report difficulty reading, recognizing faces, or performing tasks requiring fine visual acuity, while peripheral vision remains intact. D. "The doctor can perform surgery to correct this by repairing the folds in your retina.": There is no surgical procedure to restore lost macular tissue in AMD. Treatments focus on slowing disease progression, such as anti-VEGF injections for wet AMD, nutritional supplementation for dry AMD, and visual aids. Retinal surgery is unrelated to AMD management.

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