The nurse is attempting to inspect the lacrimal apparatus of the ...

[Alainaaa8]

The nurse is attempting to inspect the lacrimal apparatus of the client's eye. Because of its anatomical location, the nurse should do which of the following?
 
  1. Retract the upper eyelid, and ask the client to look down.
  2. Retract the upper eyelid, and ask the client to look up.
  3. Retract the lower eyelid, and ask the client to look up.
  4. Retract the lower eyelid, and ask the client to look down.

Question 2

The nurse is assisting the nurse midwife in preparing to perform Leopold's maneuver on a pregnant client. The nurse instructs the client about the procedure and then:
 
  1. Asks the client to urinate
  2. Asks the client to drink 8 oz of water
  3. Locates the fetal heart tones with a fetoscope
  4. Warms the sonogram gel before placing it on the client's abdomen

[reelove4eva]

Answer to Question 1

1

Rationale: The lacrimal apparatus consists of the lacrimal gland (in the upper lid over the outer canthus) and the secretory ducts, which direct tears to the lacrimal sac in the inner canthus. The nurse examines part of this apparatus by retracting the upper eyelid and asking the client to look down. Abnormal findings would include edema and tenderness. The other statements are incorrect.

Answer to Question 2

1

Rationale: An empty bladder contributes to a woman's comfort during this examination. Drink-ing water to fill the bladder and warming sonogram gel may be performed prior to a sonography (ultrasound). Often, Leopold's maneuver is performed to aid the examiner in locating the fetal heart tones.