An older-adult patient is being seen for chronic entropion. Which ...

[burton19126]

An older-adult patient is being seen for chronic entropion. Which condition will the nurse assess for in this patient?
 
  a. Ptosis
  b. Infection
  c. Borborygmi
  d. Exophthalmos

Question 2

During a school physical examination, the nurse reviews the patient's current medical history. The nurse discovers the patient has allergies. Which assessment finding is consistent with allergies?
 
  a. Clubbing
  b. Yellow discharge
  c. Pale nasal mucosa
  d. Puffiness of nasal mucosa

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Answer to Question 1

ANS: B
The diagnosis of entropion can lead to lashes of the lids irritating the conjunctiva and cornea. Irritation can lead to infection. Exophthalmos is a bulging of the eyes and usually indicates hyperthyroidism. An abnormal drooping of the lid over the pupil is called ptosis. In the older adult, ptosis results from a loss of elasticity that accompanies aging. Hyperactive sounds are loud, growling sounds called borborygmi, which indicate increased GI motility.

Answer to Question 2

ANS: C
Pale nasal mucosa with clear discharge indicates allergy. Clubbing is due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease; it is noted in the nails. A sinus infection results in yellowish or greenish discharge. Habitual use of intranasal cocaine and opioids causes puffiness and increased vascularity of the nasal mucosa.

[burton19126]

TYSM

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