A toddler exhibits exotropia of the right eye during a cover-uncover test. The primary care pediatric nurse practitioner will refer to a pediatric ophthalmologist to initiate which treatment?

Choice A reason: Occluding the affected eye is not standard practice. It may worsen amblyopia if present and does not promote use of the weaker eye. Choice B reason: Patching the unaffected eye encourages use of the deviating eye and helps improve binocular vision and alignment. It is a common first-line treatment for intermittent exotropia in toddlers. Choice C reason: Botulinum toxin injection is reserved for specific cases or when surgery is contraindicated. It is not the initial treatment for exotropia in young children. Choice D reason: Surgery is considered when conservative measures fail or if the exotropia is constant and severe. It is not the first-line intervention for intermittent exotropia in toddlers.