A 78-year-old client with advanced macular degeneration is hospitalized for pneumonia. The nurse observes that the client struggles to read provided education materials and appears confused during medication administration. What is the best approach for the nurse to ensure the client understands their care instructions?
Use verbal explanations alongside rewritten materials in a format that is easier for the client to read, such as large print.
Encourage the client to continue reading the standard print materials to support their independence.
Repeat the same educational information without modifying the delivery method to ensure clarity.
Focus on simplifying all materials under the assumption that the client has difficulty processing information.
The correct answer is to offer verbal explanations and provide written materials in an accessible format, such as large print, to support comprehension for clients with vision impairments. Macular degeneration affects central vision, which makes small text difficult to read. Providing information in a format more accessible to their remaining vision while also using verbal reinforcement promotes understanding and autonomy. The other options are incorrect as they fail to address the primary barrier (vision loss) effectively. Re-explaining without adjustments is unlikely to improve understanding, and assuming cognitive impairment without assessment could delay appropriate interventions. Encouraging the use of inaccessible materials may reinforce frustration rather than independence.
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