While screening children, the nurse notes that one child seems to have "crossed eyes." Which screening tool might the nurse utilize to further screen this child?
1. Examine the eye with an otoscope.
2. Check for the "red reflex" in the eyes.
3. Perform the cover-uncover test.
4. Use a tonometer to evaluate the eyes.
3
Rationale 1: An otoscope is used to examine the ear, not the eye.
Rationale 2: The red reflex visualizes the retina and is used to identify infants with cataracts.
Rationale 3: When one eye is covered while the child is looking at an object, the uncovered eye will deviate from the location; this tool is used to detect strabismus.
Rationale 4: The tonometer measures intraocular pressure and is used to evaluate glaucoma.
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