The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
Decrease in tear production
Unequal pupillary constriction in response to light
Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles
Presence of arcus senilis observed around the cornea
The Correct Answer is B
A. Decrease in tear production: This is a common age-related change and is not considered abnormal.
B. Unequal pupillary constriction: Correct. Unequal pupillary constriction (anisocoria) is not normal and may indicate neurological issues.
C. Loss of outer eyebrow hair: This is a normal age-related change due to decreased hair follicles.
D. Arcus senilis: This is a common finding in older adults and is typically benign, caused by lipid deposits around the cornea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.
B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.
C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.
D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.
Correct Answer is C
Explanation
A. Pallor and cyanosis: Indicative of arterial insufficiency, not venous disease.
B. Thin, shiny skin: Seen in peripheral arterial disease (PAD).
C. Brownish discoloration: Caused by hemosiderin deposits from chronic venous congestion.
D. Unilateral cool foot: Suggests acute arterial obstruction.
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