A nurse is assessing a 68-year-old client who reports gradual vision changes over the past year. Which assessm…

Question

A nurse is assessing a 68-year-old client who reports gradual vision changes over the past year. Which assessment finding would be most characteristic of cataracts?

Accepted Answer

보기 2: Gradual, painless loss of vision with increased glare sensitivity

Cataracts present with gradual, painless vision loss and increased glare sensitivity, distinguishing them from acute conditions like glaucoma or retinal detachment. Other options describe symptoms of those acute disorders.

Answer

보기 1: Sudden onset of severe eye pain with halos around lights

Answer

보기 3: Peripheral vision loss with tunnel vision effect

Answer

보기 4: Sudden onset of flashing lights and floaters

Condition	Onset	Pain	Vision Loss Pattern	Key Associated Symptoms
Cataract	Gradual (months to years)	Painless	Generalized blurring, clouding	Increased glare sensitivity, halos around lights, difficulty with night driving, frequent prescription changes
Acute Angle-Closure Glaucoma	Sudden (hours)	Severe	Rapid central acuity loss	Colored halos, red eye, cloudy cornea, nausea/vomiting, fixed mid-dilated pupil
Primary Open-Angle Glaucoma	Gradual (years)	Painless	Peripheral loss progressing to tunnel vision	Often asymptomatic until late; elevated intraocular pressure on tonometry
Retinal Detachment	Sudden (minutes to hours)	Painless	Curtain-like shadow over visual field	Flashes of light (photopsia), sudden increase in floaters

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A nurse is assessing a 68-year-old client who reports gradual vision changes over the past year. Which assessment finding would be most characteristic of cataracts?

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