The nurse is testing a patient for visual tropia. Which actions are steps in this test? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Have the patient remove corrective lenses.
2. Sit in front of the patient.
3. Have the patient stare at an object about 20 feet behind the nurse.
4. Cover one of the patient's eyes.
5. Record eye movement toward the nose as exotropia.
2,3,4,5
Rationale 1: The patient should wear corrective lenses if they are normally worn.
Rationale 2: The nurse sits in front of the patient.
Rationale 3: The patient should fixate on an object about 20 feet behind the nurse and then, to test near response, fixate of an object about 16 inches away.
Rationale 4: The test includes covering and uncovering each eye individually.
Rationale 5: If the eye moves toward the nose, it was fixated outward so the eye is exotropic.
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