Advanced Health Assessment Practice Exam

During an eye examination, which of the following findings would indicate a need for immediate referral?

1. Slight redness in the sclera

2. New and Severe flashing lights or floaters

3. Minor eyelid drooping

4. Persistent mild dry eye

The correct answer is: New and Severe flashing lights or floaters

The presence of new and severe flashing lights or floaters in a patient's visual field is a clinical finding that warrants immediate referral. This symptom could indicate a serious underlying condition, such as a retinal tear or detachment. When the vitreous gel inside the eye pulls away from the retina, it can cause these visual disturbances. If left untreated, retinal detachment can lead to permanent vision loss, making it imperative for a healthcare provider to assess the situation promptly and potentially intervene to preserve the patient's vision. Other findings, such as slight redness in the sclera, minor eyelid drooping, and persistent mild dry eye, typically do not signify immediate threats to vision. While they may warrant further evaluation, they usually do not carry the same urgency as the risk associated with flashing lights or floaters, which signifies a potential emergency that could result in irreversible damage if not addressed swiftly. Thus, those particular symptoms highlight the critical nature of monitoring changes in visual sensation and the importance of timely intervention in cases where more serious conditions may be present.