The nurse is interviewing the mother of a 6 month old during a well-child visit. The mother reports that there is a watery drainage from the infant's left eye with some crusting present within the eyelashes
The nurse inspects the infant's left eye and agrees with the mother's assessment. In which of the following ways would the nurse accurately document this finding? 1. Exotropia
2. Esotropia
3. Dacryostenosis
4. Congenital cataracts
3
Rationale 1: Exotropia causes the covered eye to move outward (laterally).
Rationale 2: Esotropia causes the covered eye to move inward (medially).
Rationale 3: Dacryostenosis is the congenital blockage of the tear ducts and is a normal variant until 9 months of age. The infant with dacryostenosis will present with unilateral tearing and non-purulent crusting.
Rationale 4: Congenital cataracts cause the cornea to appear hazy or cloudy.
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__________ are specific nursing directions so that all healthcare team members understand exactly what to do for the client
Fill in the blank(s) with correct word