The nurse is performing visual acuity screenings on a group of students. Which of the following student comments does the nurse recognize as indicating possible myopia? Select all that apply.

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11ecbb05_caf5_cec7_b433_01dec833dd27_MD0009_00 Myopia, or nearsightedness, is reduced visual acuity when viewing objects at a distance. Myopia occurs when the eye structure causes images to focus before they arrive at the retina. Near vision is usually intact, and many clients with myopia report needing to hold objects near their face or sit near objects to see clearly (Options B and D). Myopia in pediatric clients may first be discovered by the school nurse during routine visual acuity testing. Children often report headaches, dizziness, and the need to squint the eyes to see clearly (Option C). School performance may be affected because of impaired ability to see class presentations. (Option A) Reduced visual acuity when viewing objects up close with intact distance vision is associated with hyperopia. Clients with hyperopia may report having to hold materials far away to read or sit at a distance to have clear vision. (Option E) Impaired ability to perceive and differentiate colors (eg, red and green, blue and yellow) is associated with color vision deficiency, a congenital impairment of cone function in the retina. Children with color deficiency may have difficulty selecting matching clothing or appropriate colors for school assignments. Educational objective: Myopia, or nearsightedness, is reduced visual acuity when viewing objects at a distance. Clients with myopia often need to hold objects near their face or sit near objects to see clearly. Myopia may lead to headache, dizziness, and decreased school performance from eye strain.

The Nurse Is Performing Visual Acuity Screenings on a Group