During an examination of the eye, the nurse would expect what ...

[laurencescou]

During an examination of the eye, the nurse would expect what normal finding when assessing the lacrimal apparatus?
 
  a. Presence of tears along the inner canthus
  b. Blocked nasolacrimal duct in a newborn infant
  c. Slight swelling over the upper lid and along the bony orbit if the individual has a cold
  d. Absence of drainage from the puncta when pressing against the inner orbital rim

Question 2

A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. How should the nurse check for this?
 
  a. Perform the confrontation test.
  b. Assess the individual's near vision.
  c. Observe the distance between the palpebral fissures.
  d. Perform the corneal light test, and look for symmetry of the light reflex.

[sierrahalpin]

Answer to Question 1

ANS: D
No swelling, redness, or drainage from the puncta should be observed when it is pressed. Regurgitation of fluid from the puncta, when pressed, indicates duct blockage. The lacrimal glands are not functional at birth.

Answer to Question 2

ANS: C
Ptosis is a drooping of the upper eyelid that would be apparent by observing the distance between the upper and lower eyelids. The confrontation test measures peripheral vision. Measuring near vision or the corneal light test does not check for ptosis.

[laurencescou]

Excellent

[isabelt_18]

TYSM