An elderly client with macular degeneration tells the nurse that all of a sudden the television ...

1. Contact the physician for an immediate ophthalmological evaluation

Rationale:
The client with macular degeneration could be experiencing a sudden onset of exudative macular degeneration as evidenced by the client stating that the vision changes occurred suddenly and the colors on the television screen appear wrong.. The nurse needs to contact the physician so that the client can be seen by an ophthalmologist. The client most likely is not experiencing a side effect of medications. Ensuring the client's safety is important; however, the nurse needs to do more than raising the bed rails. The client is not hallucinating.