During the assessment of a patient's outer eyes, the nurse suspects that the patient has a hair follicle infection. What did the nurse most likely assess in this patient?

1. xanthelasma
2. ptosis
3. exophthalmos
4. sty


Correct Answer: 4
An acute localized inflammation of a hair follicle is known as a hordeolum or a sty and is generally caused by staphylococcal organisms. Yellow plaques noted most often on the lid margins are referred to as xanthelasma and have cosmetic significance only. Ptosis, or drooping of the eyelid, may be congenital in nature or may be associated with stroke, neuromuscular disorders. Exophthalmos is an abnormal prominence of the eye and is associated with thyroid disease.

Nursing

You might also like to view...

What should the nurse point out when outlining the characteristics of fat metabolism? (Select all that apply.)

a. Are soluble in water b. Use more oxygen than carbohydrates c. Are stored more compactly in the body d. Release more energy than carbohydrates e. Are rich in vitamin A

Nursing

The advanced nurse practitioner believes that he should spend as much time with each patient as the patient desires. Does this practice raise ethical challenges?

1. No, this is the way all nursing should be practiced. 2. Yes, this practice reflects poorly on the nurse's physician colleagues. 3. Yes, if this practice makes other patients wait past their own appointment times. 4. No, patients should expect to wait in any health care provider's office.

Nursing

A common early sign of cardiogenic shock is:

a. weak, thready pulse c. cyanosis of the ex-tremities b. peripheral edema d. mild tachycardia

Nursing

During data collection, the nurse suspects a patient is experiencing a urinary tract infection. Which manifestation did the nurse use to come to this conclusion?

a. Diarrhea b. Vomiting c. Voiding frequency d. Abdominal distention

Nursing