The nurse is caring for an elderly female client in an extended-care facility who has dry age-related macular degeneration (AMD). Which nursing intervention would be the most appropriate?

  • provide written materials to explain medications
  • stand in front of the client when addressing her
  • limit room lighting to create a relaxed environment
  • encourage use of radio and CDs
Number 4 is correct.
Auditory diversional activities, such as radios and CDs, should be encouraged. Regular-size printed material will not be readable. Instead, provide the client with large-size printed instructions. Stand to the side of the client when addressing her as central vision is impaired with AMD. Adequate lighting, such as natural or halogen, is preferred to improve vision for patients with limited acuity.