A nurse is conducting a targeted health screening for a 55-year-old client who has arrived for a routine health checkup. The client reports a decrease in night vision and occasional difficulty reading fine print. Which screening assessment should the nurse prioritize during the visit?
Perform a visual acuity assessment to evaluate the client’s ability to see clearly.
Conduct a nutritional screening to evaluate vitamin deficiencies linked to eye health.
Screen for diabetic retinopathy using fundoscopy to assess the retinal vasculature.
Administer a depression screening tool to address psychological impacts of aging.
Screening for visual acuity is the most appropriate answer in this scenario because the client’s symptoms are directly related to changes in vision, which are common in middle-aged and older adults due to conditions like presbyopia and cataracts. Visual acuity tests, such as the Snellen chart or near vision tests, help determine the client’s ability to see objects clearly at various distances and can guide appropriate referrals or corrective measures. While other screenings, such as retinal exams or nutritional evaluations, may be relevant depending on the client's history, they don't directly address the client's reported symptoms. Mental health screenings, though important, are unrelated to the client's current concern.
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What is presbyopia and how does it affect vision?
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