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During an Assessment, the Nurse Notices That an Older Adult

Question 37

Multiple Choice

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

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