In using the ophthalmoscope to assess a patient's eyes, the nurse notices a red glow in the patient's pupils. On the basis of this finding, the nurse would:
a. Suspect that an opacity is present in the lens or cornea.
b. Check the light source of the ophthalmoscope to verify that it is functioning.
c. Consider the red glow a normal reflection of the ophthalmoscope light off the inner retina. d.
Continue with the ophthalmoscopic examination, and refer the patient for further evaluation.
ANS: C
The red glow filling the person's pupil is the red reflex and is a normal finding caused by the reflection of the ophthalmoscope light off the inner retina. The other responses are not correct.
You might also like to view...
An 8-year-old child has Lennox-Gastaut syndrome and has been prescribed topiramate. The nurse will teach the child's parents to observe for which of the following?
A) Dizziness and drowsiness B) Nausea and vomiting C) Weight gain D) Decreased sweating and elevated temperature
A female client, aged 27, is being seen at the clinic. The client describes her symptoms as auditory hallucinations, memory gaps, and sudden breaks in the continuity of her thought process
The nurse recognizes that the client is describing symptoms for what dissociative disorder? A) Dissociative amnesia B) Dissociative identity disorder C) Depersonalization disorder D) Dissociative fugue
Pain threshold varies widely among different individuals
Indicate whether the statement is true or false.
A nurse is teaching a health class to a group of young women and is discussing toxic shock syndrome. Which statement(s) would be appropriate prevention measures for toxic shock syndrome? (Select all that apply.)
a. Change tampons every 12 hours. b. Use peri pads rather than tampons during sleep. c. Do not leave diaphragms in place longer than 48 hours. d. Use the highest-absorbency tampons available. e. Wash hands before inserting tampons.