— 健康促進與維護 · MEDIUM · MCQ —
一位 70 歲個案抱怨夜間視力困難。護理師應評估何種情況？
A 70-year-old client reports difficulty with night vision. Which condition should the nurse assess for?
- AGlaucoma青光眼
- BRetinal detachment視網膜剝離
- CCataracts✓ 正解白內障
- DMacular degeneration黃斑部病變
— Explanation · 中文詳解 —
白內障（Cataracts）的主要症狀為晶體混濁，導致視線模糊、眩光（特別是在強光下）以及夜間視力降低。青光眼多影響周邊視野，黃斑部病變則導致中央視力喪失，視網膜剝離則通常表現為閃光或黑影遮蔽，故夜間視力困難與白內障的關聯性最強。
The nurse should assess for cataracts, as clouding of the lens commonly causes glare, blurred vision, and decreased night vision in older adults. Other conditions like glaucoma affect peripheral vision, macular degeneration impacts central vision, and retinal detachment presents acutely with flashes or shadows, making cataracts the most likely cause of these specific symptoms.
✦ 台美臨床差異
台灣長者對白內障手術的接受度非常高，健保給付人工水晶體種類多，醫療便利性在國際間名列前茅。