2024 PN NCLEX Questions Nursing Practice Question
A nurse assisting with data collection notes that the client exhibits rapid, involuntary oscillating movements of the eyeball when looking at the nurse. The nurse documents this finding using which term?
Correct Answer: B
Rationale: The term "nystagmus" accurately describes the rapid, involuntary oscillating movements of the eyeball observed in the client. This condition can occur due to various neurological or vestibular issues.
Option A, "ptosis," refers to drooping of the eyelid and does not relate to eye movement. Option C, "scleral icterus," describes a yellowing of the sclera due to jaundice, which is unrelated to eye movement. Option D, "exophthalmos," indicates protrusion of the eyeball, often seen in conditions like Graves' disease, but does not pertain to oscillation. Thus, "nystagmus" is the only term that fits the described eye movement.