Explain how to conduct a physical assessment of the eyes and ears.Demonstrate documentation of the eyes and ears assessment findings
In this writing assignment, you will review a case scenario and submit an assignment providing information on how you would conduct a focused physical assessment of the client based on the presenting complaints. You will document your findings from the focused history and physical assessment data elicited and develop a nursing plan of care for this client.
Mrs. Young presents to the pediatric clinic with her son Marcus, who is a six-year-old African American male child. Marcus was sent home from school because the school nurse noticed he had discharge around his eye. You perform the following assessment:
• Onset: Mrs. Young tells you Marcus woke up that morning with some discharge around his right eye. She thought perhaps he had gotten something in his eye during the night. When you ask Marcus when his eye started itching, he tells you when he woke up this morning his eye was all “gunky” and itchy, and his mom cleaned it up before he went to school. When asked how his eye feels, Marcus tells you his eye has been “itchy all day” and he has been rubbing it “all day.”
• Location: When asked which eye itches Marcus points to his right eye. When asked if his other eye itches, Marcus shakes his head “no.”
• Characteristics: When asked to describe the discharge, Mrs. Young tells you it was dry and crusty in the morning, and his right eye was stuck shut. She said his eye also looked red, which is why she thought he had gotten something in it that night.
• Aggravating factors: When asked what makes his eye feel worse, Marcus tells you it itches all the time.