During an assessment of the sclera of a black patient, the nurse ...

[lindiwe]

During an assessment of the sclera of a black patient, the nurse would consider which of these an expected finding?
 
  a. Yellow fatty deposits over the cornea
  b. Pallor near the outer canthus of the lower lid
  c. Yellow color of the sclera that extends up to the iris
  d. Presence of small brown macules on the sclera

Question 2

The nurse is performing the diagnostic positions test. Normal findings would be which of these results?
 
  a. Convergence of the eyes
  b. Parallel movement of both eyes
  c. Nystagmus in extreme superior gaze
  d. Slight amount of lid lag when moving the eyes from a superior to an inferior position

[ErinKing]

Answer to Question 1

ANS: D
Normally in dark-skinned people, small brown macules may be observed in the sclera.

Answer to Question 2

ANS: B
A normal response for the diagnostic positions test is parallel tracking of the object with both eyes. Eye movement that is not parallel indicates a weakness of an extraocular muscle or dysfunction of the CN that innervates it.

[lindiwe]

Thanks for the timely response, appreciate it

[JaynaD87]

Gracias!