A 2-year-old girl has excessive tearing and corneal haziness. The nurse knows that these symptoms may indicate:

a. Viral conjunctivitis. c. Congenital cataract.
b. Paralytic strabismus. d. Infantile glaucoma.


ANS: D
Excessive tearing and corneal haziness are indicative of glaucoma. Because the child is younger than 3 years of age, it would be classified as "infantile." Discharge is noted with conjunctivitis. Corneal haziness is not a symptom of conjunctivitis. Paralytic strabismus is caused by weakness or paralysis of one or more of the extraocular muscles. Neither tearing nor corneal haziness is a symptom of paralytic strabismus. Congenital cataract will present as an opacity, but not excessive tearing.

Nursing

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