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During an Assessment, the Nurse Notices That an Older Adult

Question 21

Multiple Choice

During an assessment, the nurse notices that an older adult patient has tears rolling down his face from his O.S. 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) Documenting the finding as ptosis
B) Assessing for other signs of ectropion
C) Assessing the eye for a possible foreign body
D) Contacting the prescriber; these are signs of basal cell carcinoma

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