The nurse is performing an eye assessment on an 80-year-old ...

[Bernana]

The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
 
  a. Decrease in tear production
  b. Unequal pupillary constriction in response to light
  c. Presence of arcus senilis observed around the cornea
  d. Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles

Question 2

The nurse is performing an eye-screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has a lazy eye and should:
 
  a. Examine the external structures of the eye.
  b. Assess visual acuity with the Snellen eye chart.
  c. Assess the child's visual fields with the confrontation test.
  d. Test for strabismus by performing the corneal light reflex test.

[jasonq]

Answer to Question 1

ANS: B
Pupils are small in the older adult, and the pupillary light reflex may be slowed, but pupillary constriction should be symmetric. The assessment findings in the other responses are considered normal in older persons.

Answer to Question 2

ANS: D
Testing for strabismus is done by performing the corneal light reflex test and the cover test. The Snellen eye chart and confrontation test are not used to test for strabismus.