HESI Exit Exam 2021 (CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER HESI EXAMS) Which information is most concerning to the nurse when caring for an older client with bilateral c... ataracts? A. States having difficulty with color perception B. Presents with opacity of the lens upon assessment C. Complains of seeing a cobweb-type structure in the visual field D. Reports the need to use a magnifying glass to see small print Rationale: Visualization of a cobweb- or hairnet-type structure is a sign of a retinal detachment, which constitutes a medical emergency. Clients with cataracts are at increased risk for retinal detachment. Distorted color perception, opacity of the lens, and gradual vision loss are expected signs and symptom of cataracts but do not need immediate attention [Show More]
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