Case Scenario


C.K. Is a 76-year-old woman who presents to the family practice with complaints of difficulty seeing at night, especially when driving. The patient was last seen by the ophthalmologist 6 months ago and needs a referral to be seen by the specialist. The patient has hypertension and diabetes, both managed with medications. She has no complaints of pain at this time. Vital signs are T 97.5, P 68, R 16, and BP 120/60.


What subjective information should the nurse obtain?

The nurse is assessing the internal anatomy of the eye. What are the physical features?

The nurse is assessing the patient’s eyes through the ophthalmoscope. What structures can be viewed through the scope?

What are some possible causes of decreased visual functioning in older adults?

What is the most likely cause of this patient’s night blindness?

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