During an eye examination, a client tells a nurse that their left eye feels dry and itchy and has noticed a lot of tearing. The nurse notices that the client's left lower eyelid is rolled out with exposure of the palpebral conjunctiva. The nurse would document these findings as:
Ptosis
Ectropion
Exophthalmos
Entropion
The Correct Answer is B
A. Ptosis: Drooping of the upper eyelid, often caused by nerve or muscle dysfunction.
B. Ectropion: This condition results from age-related weakening of eyelid muscles or facial nerve palsy, causing the lower eyelid to turn outward, exposing the conjunctiva.
C. Exophthalmos: Protrusion of the eyeball, commonly seen in conditions like Graves' disease.
D. Entropion: Inward rolling of the eyelid, leading to eyelashes rubbing against the eye.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Air conduction greater than bone conduction: This is tested with the Rinne test, not the Weber test.
B. Bilateral hearing loss: This is not a normal finding in the Weber test.
C. No lateralization of vibrations: In a normal Weber test, the vibrations are heard equally in both ears, indicating no conductive or sensorineural hearing loss.
D. Unilateral hearing loss: This would be abnormal and suggest hearing impairment in one ear.
Correct Answer is ["C","D","E"]
Explanation
A. Murphy sign: This is used to assess for gallbladder inflammation, not appendicitis.
B. Shifting dullness: This is used to detect ascites, not appendicitis.
C. Obturator test: This test involves flexing the patient's right hip and knee and rotating the leg internally, causing pain if the appendix is inflamed.
D. Blumberg sign: This test for rebound tenderness indicates peritoneal irritation, commonly associated with appendicitis.
E. Iliopsoas muscle test: This test involves extending the right leg against resistance, which can elicit pain in cases of appendicitis.
F. Fluid wave: This is used to assess for ascites, not appendicitis.
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