The nurse is attempting to inspect the lacrimal apparatus of the client's eye. Because of its anatomical location, the nurse should do which of the following?
1. Retract the upper eyelid, and ask the client to look down.
2. Retract the upper eyelid, and ask the client to look up.
3. Retract the lower eyelid, and ask the client to look up.
4. Retract the lower eyelid, and ask the client to look down.
1
Rationale: The lacrimal apparatus consists of the lacrimal gland (in the upper lid over the outer canthus) and the secretory ducts, which direct tears to the lacrimal sac in the inner canthus. The nurse examines part of this apparatus by retracting the upper eyelid and asking the client to look down. Abnormal findings would include edema and tenderness. The other statements are incorrect.
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