Free NCLEX RN Practice Questions Practice Question
The nurse is preparing to administer an injection to a 6-month-old when she notices a white dot in the infant's right pupil. The nurse should:
Correct Answer: A
Rationale: Identifying a white dot in an infant's pupil can indicate serious conditions, such as cataracts or retinoblastoma, necessitating immediate medical evaluation. Reporting the finding to the physician ensures prompt assessment and intervention.
Option B is inappropriate, as administering an injection without addressing a potential ocular issue could overlook a significant health concern. Option C is incorrect; a white dot is not a normal variation and warrants further investigation. Option D, while checking for the red reflex is important, does not address the immediate need to report the abnormal finding to a physician.
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