Mrs. Parker, a 70-year-old woman with severe macular degeneration, was admitted to the hospital the day before a scheduled surgery. The nurse’s preoperative goals for Mrs. M. would include:
A. Independently ambulating around the unit
B. Reading the routine preoperative education materials
C. Maneuvering safely after orientation to the room
D. Using a bedpan for elimination needs
Correct Answer: C. Maneuvering safely after orientation to the room.
Maneuvering safely after orientation to the room is a realistic goal for a person with impaired vision. Orienting the client to the room should help the client to move safely. The client should be familiarized with the bed, location of the bathroom, furniture, and other environmental hazards that can cause older patients to trip or fall.
Option A: Independently ambulating around the unit is not appropriate because the unit environment can change and injury could result. Place assistive devices and commonly use items within reach. This provides easy access to assistive devices and personal care items. Items such as call bell, telephone, and water should be kept close to avoid frequent reaching.
Option B: Assistance is necessary because of the client’s visual deficit. It is unlikely the client can see well enough to read the materials. Ensure the client’s eyesight is regularly checked and explain the importance of wearing eyeglasses if needed. Make sure glasses and hearing aids are always worn.
Option D: Using the bedpan is an unnecessary restriction on the client as she can be oriented to the bathroom or to call for assistance. Instruct the client how to ambulate at home, including using safety measures such as handrails in the bathroom.