Question 1

A patient who has a hyphema is at risk for developing

Accepted Answer

A hyphema is a collection of blood in the anterior chamber of the eye, which can increase intraocular pressure and lead to glaucoma. Strabismus, diplopia, and astigmatism are not typically associated with hyphema.

Question 2

The nurse is preparing new parents for discharge home with their well newborn.The nurse explains that the newborn cannot be discharged until the mandatory hearing screening is performed.Is this statement true or false?

Accepted Answer

At the recommendation of The Joint Commission on Infant Screening,most U.S.states and Canada have implemented mandatory infant hearing screening programs.As part of this program all newborns are screened before hospital discharge.

Question 3

A nurse suspects possible visual impairment in a child who displays

Accepted Answer

Excessive tearing of the eyes can indicate visual impairment, as the child may be straining to see or may have difficulty focusing. Rapid lateral movement of the eyes (nystagmus) can also indicate visual impairment, but it is not as specific as excessive tearing. Delay in speech development and lack of interest in casual conversation with peers could indicate other issues, such as hearing impairment or developmental delays, but they are not specific to visual impairment.

Question 4

A mother brings her 18-month-old son to the pediatrician for a routine well-child visit.She is concerned about her child's speech.He has been babbling and cooing since 6 months of age but is not yet saying any words.Which response by the nurse is the most appropriate?

Accepted Answer

At 18 months, most children should be saying a few words. Since the child is not yet saying any words, it is appropriate to refer him to an audiologist and speech pathologist for further evaluation.

Question 5

Adequate hearing depends on intact auditory structures and quality of sound.Failure to hear at 16 to 25 dB would be categorized as a __________ hearing loss.

Accepted Answer

The answer of Adequate hearing depends on intact auditory structures...

Question 6

Which interventions should the nurse plan when caring for a child with a visual impairment? Select all that apply.

Accepted Answer

Keep all items in the room in the same location and order.Describing how many steps away something is or the placement of eating utensils on a tray are both useful tactics.Identify noises for the child because children who are visually impaired or blind often have difficulty establishing the source of a noise.Never touch the child without identifying yourself and explaining what you plan to do.When describing objects or the environment to a child who is blind or visually impaired use familiar terms.If the child has been blind since birth,color has no meaning.

Question 7

Which interventions should the nurse plan when caring for a child with a hearing loss? Select all that apply.

Accepted Answer

Speak clearly and at a slightly slower speed than normal.Eliminate background noise so the child can focus on what is being said.Use visual aids to assist communication.Look directly at the child,and have the child's full attention before speaking.Do not speak loudly.

Question 8

The school nurse is caring for a child with a penetrating eye injury.Emergency treatment includes

Accepted Answer

Penetrating eye injury is a medical emergency and requires immediate attention. Applying a Fox shield to the affected eye provides a rigid protective cover which helps to prevent further damage to the eye. The unaffected eye may be patched to reduce eye movement and promote rest. The child should be transported to an ophthalmologist or emergency department for further treatment. Applying ice or irrigating the eye copiously with a sterile saline solution can worsen the injury and cause further damage. A regular eye patch is not a sufficient protective measure in the case of a penetrating eye injury.

Question 9

Discharge planning for an 8-year-old child with a patched eye after a corneal abrasion should include

Accepted Answer

The patch should be kept in place for 24 hours to allow the cornea to heal. Massaging the eye could further irritate it and delay healing. The patch should not be removed until the healthcare provider instructs to do so, and follow-up should be scheduled sooner than 7 days after the injury.

Question 10

The most common type of hearing loss,which results from interference of transmission of sound to the middle ear,is called

Accepted Answer

Conductive hearing loss is caused when there is a problem conducting sound waves through the outer ear, tympanic membrane, or middle ear. This can be due to problems such as ear infections, fluid in the middle ear, or blockage in the ear canal.

Question 11

The nurse should suspect a hearing impairment in an infant who demonstrates

Accepted Answer

Cessation of babbling at age 7 months can indicate a hearing impairment, as infants typically continue to babble and develop language skills if they can hear sounds.

Quiz 55: The Child With a Sensory Alteration