During a physical exam, the nurse practitioner shines a ligh…

During a physical exam, the nurse practitioner shines a light toward the eyes of a 7-year-old patient from about 12 inches away. The light reflection appears in the center of the right pupil but is displaced laterally in the left pupil. Which interpretation is most appropriate?

A 6-year-old child presents with fever, mild malaise, and an…

A 6-year-old child presents with fever, mild malaise, and an itchy rash that began on the scalp and spread to the trunk and extremities. On examination, papular and vesicular lesions are seen in different stages of healing. The nurse notes redness and irritation of the eyes. Which of the following findings is most concerning for a potential systemic complication of this disease?