Which finding indicates the presence of a retinoblastoma?
a. absent red reflex c. dark reddish color of the retina
b. bleeding into the optic nerve sheath d. yellowish or white light reflex
D
Retinoblastoma is a malignant glioma located in the posterior chamber of the eye seen as a yellowish or white light reflex (cat's eye reflex). An absent red reflex can be caused by cataracts. Possible causes of cataracts in newborns are chromosomal disorders, intrauterine infections, and ocular trauma. Bleeding into the optic nerve sheath is the result of retinal hemorrhage and is found in children who have been physically shaken (shaken baby syndrome). It appears as a red to dark-red color, and some areas may be rounded or flame shaped.
You might also like to view...
The nurse is caring for a patient who has been noncompliant with treatment for hypertension. The nurse explains that untreated hypertension increases the risk of what? (Select all that apply.)
A) Renal disease B) Cerebral infarction C) Heart failure D) Cholecystitis E) Migraine headache
The family of a patient with a concussion is concerned that the patient continues to complain of and demonstrate ongoing neurological deficits even though the injury occurred 6 weeks ago. What information should the nurse provide?
1. Symptoms of the concussion will continue for most of the patient's life. 2. The concussion might be healed; however, the patient will not recover from the symptoms. 3. Symptoms of the concussion will come and go depending on the patient's health status. 4. Symptoms of a concussion can last 3 months or more
The nurse caring for a client with suspected appendicitis knows that the pain associated with appendicitis is
a. cutaneous pain. b. somatic pain. c. superficial pain. d. visceral pain.
An example of a cultural encounter is:
a. Sharing significant assessment findings with members of a racial minority b. Visiting the native land of the clients served at a community health center c. Telephoning the priest at a Latino church to discuss the health issues of a client d. Learning about traditional healing practices from an American Indian client