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During an Assessment the Nurse Notices That an Elderly Patient

Question 33

Multiple Choice

During an assessment the nurse notices that an elderly patient has tears rolling down his face from his left eye.Closer examination shows that the lower lid is loose and rolling outward.The patient complains of his eye feeling "dry and itchy." Which action by the nurse is correct?


A) Assess the eye for a possible foreign body.
B) Document the finding as ptosis.
C) Assess for other signs of ectropion.
D) Contact the prescriber because these are signs of basal cell carcinoma.

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