Nursing Note: Derek Dillard is a client in the emergency
Nursing Note: Derek Dillard is a client in the emergency department. Derek reports bilateral burning of the eyes and excessive tearing. They admit to wearing the same contacts for greater than 36 hours. Assessment reveals: Sclera are red, and conjunctiva are pink. The healthcare provider has ordered PERRLA and visual acuity assessment using Snellen chart. Perform a focused assessment including the visual acuity assessment. Physicians orders: PERRLA, Visual Acuity. Questions: 1. what are the top three priority assessment findings or cues that must be recognized as clinically significant by the nurse? 2. what is the underlying cause/ pathophysiology? 3. what body systems will you thoroughly assess? 4. what is the patient likely feeling right now?
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