Question 1

Which reaction should the nurse anticipate when the family of an infant is told there is a sensory impairment?&#10;A) Fear&#10;B) Anger&#10;C) Blame&#10;D) Indifference&#10;

Accepted Answer

It is common for families to experience fear and anxiety when they are told that their child has a sensory impairment. They may worry about the child's future and their ability to provide the best care for them. The nurse should be prepared to address these concerns and provide emotional support to the family.

Question 2

Which should the nurse include in the plan of care for a pediatric client diagnosed with otitis media with effusion?&#10;A) Assessing for visual acuity&#10;B) Assessing for speech delays&#10;C) Administering prescribed aspirin for pain relief&#10;D) Administering prescribed IV antibiotics&#10;

Accepted Answer

Otitis media with effusion is a buildup of fluid in the middle ear without infectious symptoms. This condition can cause hearing problems and may increase the risk of speech delays in children. Therefore, assessing for speech delays would be an appropriate intervention to include in the plan of care. Assessing for visual acuity would not be directly related to this condition. Administering aspirin is contraindicated in children with viral infections such as otitis media with effusion, and IV antibiotics are not indicated in the absence of an active infection.

Question 3

Which tool should the nurse use to screen a pediatric patient for esotropia?&#10;A) Perform the cover-uncover test&#10;B) Examine the eye with an otoscope&#10;C) Use a tonometer to evaluate the eyes&#10;D) Check for the &#34;red reflex&#34; in the eyes&#10;

Accepted Answer

The cover-uncover test is the appropriate tool to screen for esotropia in a pediatric patient. This test involves covering one eye at a time while the patient looks straight ahead, then quickly uncovering the eye and observing if it moves to re-align with the other eye. If the covered eye moves inward toward the nose, it may indicate an esotropia (eye turning inward) and further evaluation is needed.

Question 4

Which should the nurse include in the discharge instructions for the parents of an infant who is diagnosed with acute otitis media?&#10;A) Administer a decongestant.&#10;B) Place the baby to sleep with a bottle.&#10;C) Keep the baby in a flat position during feedings.&#10;D) Administer acetaminophen (Tylenol)to relieve discomfort.&#10;

Accepted Answer

Acetaminophen can help relieve discomfort and fever associated with acute otitis media, while decongestants are not usually recommended and placing the baby to sleep with a bottle or in a flat position during feedings can increase the risk of ear infections.

Question 5

Which information should the nurse include in order to prevent noise-induced hearing loss (NIHL)for pediatric patients?&#10;A) Avoid the use of ear plugs&#10;B) Participate in annual screenings&#10;C) Stand close to amplifiers during live music&#10;D) Use a cotton-tipped applicator for wax removal&#10;

Accepted Answer

The nurse should include information about participating in annual screenings for pediatric patients in order to prevent noise-induced hearing loss (NIHL). This can help identify any early signs of hearing loss and prompt appropriate interventions. Avoiding the use of ear plugs or standing close to amplifiers during live music can actually increase the risk of NIHL. Using a cotton-tipped applicator for wax removal can also increase the risk of NIHL by pushing wax deeper into the ear canal.

Question 6

Which clinical manifestation causes the nurse to plan care based on a diagnosis of retinoblastoma for a pediatric patient?&#10;A) Enucleation&#10;B) Red reflex&#10;C) Leukokoria&#10;D) Cerumen buildup&#10;

Accepted Answer

Leukokoria, which is a white pupil or white reflection in the eye, is a common clinical manifestation of retinoblastoma and is often the first sign noticed by parents. This would prompt the nurse to plan care based on a diagnosis of retinoblastoma and coordinate with the healthcare team for further evaluation and treatment, which may include referral to an ophthalmologist, imaging studies, and/or chemotherapy. Enucleation (removal of the eye) may be required in severe cases. Red reflex (red glow from the back of the eye) is a normal finding and not specific to retinoblastoma. Cerumen buildup (earwax accumulation) is unrelated to retinoblastoma.

Question 7

Which term should the nurse use when discussing a child with no sight sensory experience with other members of the health-care team?&#10;A) Deaf&#10;B) Blind&#10;C) Hard of hearing&#10;D) Visually impaired&#10;

Accepted Answer

The term "blind" is the most appropriate to use when discussing a child with no sight sensory experience. Other terms such as "visually impaired" may be used for individuals with some level of vision, but for someone with no sight, "blind" is the most accurate and respectful term to use.

Question 8

Which rationale for why young children are more prone to otitis media should the nurse include in the teaching session with a parent?&#10;A) The eustachian tube is longer,wider,and vertical in younger children.&#10;B) The eustachian tube is shorter,wider,and horizontal in younger children.&#10;C) The eustachian tube is longer,more narrow,and vertical in younger children.&#10;D) The eustachian tube is shorter,more narrow,and horizontal in younger children.&#10;

Accepted Answer

The eustachian tube in younger children is shorter, wider, and more horizontal, which allows for the easier entry of pathogens into the middle ear.

Question 9

Which nursing action is appropriate when providing care to a child with mild hearing loss who reads lips in order to enhance adaptation during hospitalization?&#10;A) Engaging the child with medical toys and dolls&#10;B) Speaking directly to the parents for communication&#10;C) Collecting only objective data during the health history&#10;D) Providing only physiological support during the acute phase&#10;

Accepted Answer

Engaging the child with medical toys and dolls can help the child feel more comfortable and distract from any anxiety related to hospitalization. Using visual aids like toys and dolls with realistic medical equipment can also help the child become more familiar and less fearful of their surroundings. It is also important to speak clearly and directly to the child, even if they read lips, to ensure they are receiving all necessary information and instructions.

Question 10

Which neonate requires a close nursing assessment for the development of retinopathy of prematurity (ROP)?&#10;A) A newborn of 28 weeks' gestation who has been on long-term oxygen and weighed 1240 g at birth&#10;B) A small-for-gestational-age newborn of 36 weeks' gestation who was in an oxyhood for 12 hours and weighed 1800 g&#10;C) A female newborn of 28 weeks' gestation who was on short-term oxygen,weighed 1420 g,and was treated with phototherapy&#10;D) A newborn of African heritage and 32 weeks' gestation with a congenital heart defect who needed no oxygen and weighed 1850 g&#10;

Accepted Answer

Infants born prematurely and weighing less than 1500 g are at risk for developing ROP, especially if they have received long-term oxygen therapy. The other options either have a higher gestational age, did not receive long-term oxygen therapy, or have no known risk factors for developing ROP.

Question 11

Which term should the nurse use when discussing a child with a limited sensory experience for sight with other members of the health-care team?&#10;A) Deaf&#10;B) Blind&#10;C) Hard of hearing&#10;D) Visually impaired&#10;

Accepted Answer

The answer of Which term should the nurse use when...

Question 12

Which is the reason for a health-care provider recommending that a preschool-aged male client with documented hearing loss attend preschool at least 2 days per week?&#10;A) To increase the child's socialization skills&#10;B) To help the child recognize his hearing deficit&#10;C) To teach other children that children are different&#10;D) To improve the child's immunity by increased exposure to organisms&#10;

Accepted Answer

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Question 13

Which common eye disorders should the nurse include in a teaching session for the parents of pediatric clients? (Select all that apply.)&#10;A) Myopia&#10;B) Cataracts&#10;C) Hyperopia&#10;D) Strabismus&#10;E) Astigmatism&#10;

Accepted Answer

The answer of Which common eye disorders should the nurse...

Question 14

Which medication should the nurse plan to administer to decrease the risk of eye infection for a newborn?&#10;A) Oral erythromycin&#10;B) IV penicillin&#10;C) Erythromycin eyedrops&#10;D) Fluoroquinolone ointment&#10;

Accepted Answer

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Question 15

Which nursing action is appropriate when teaching the family of a child diagnosed with bacterial conjunctivitis regarding medication administration?&#10;A) Teaching that the drug should be administered one time per day&#10;B) Encouraging the child to rub the eye after administration of the drug&#10;C) Asking the child to hold the eye open when the drug is administered&#10;D) Telling the child to lie down for 1 to 2 minutes after the drug is administered&#10;

Accepted Answer

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Question 16

Which topics should the nurse include in a teaching session for the parents of a 10-month-old infant who experiences frequent ear infections? (Select all that apply.)&#10;A) Continuing to breastfeed&#10;B) Avoiding use of woodburning stoves&#10;C) Prohibiting tobacco smoke in the home&#10;D) Cleaning the child's ears nightly with peroxide&#10;E) Avoiding use of a pacifier while the child is sleeping&#10;

Accepted Answer

The answer of Which topics should the nurse include in...

Question 17

Which treatment should the nurse anticipate for a pediatric patient with an aggressive case of retinoblastoma?&#10;A) Enucleation&#10;B) Cryotherapy&#10;C) Laser surgery&#10;D) Cochlear implant&#10;

Accepted Answer

The answer of Which treatment should the nurse anticipate for...

Question 18

Which organizations should the nurse include in the teaching session for the parents of a child with a visual or hearing impairment? (Select all that apply.)&#10;A) American Council of the Blind&#10;B) National Federation of the Blind&#10;C) American Academy of Pediatrics&#10;D) National Association for Visually Handicapped&#10;E) National Association for Parents of Children with Visual Impairments&#10;

Accepted Answer

The answer of Which organizations should the nurse include in...

Question 19

Which may be a causative factor the nurse includes in a teaching session for a pediatric patient diagnosed with sensorineural hearing loss?&#10;A) Otitis media&#10;B) Foreign body&#10;C) Cerumen buildup&#10;D) Rubella syndrome&#10;

Accepted Answer

The answer of Which may be a causative factor the...

Question 20

Which parental statements indicate correct understanding of the care that is needed for a pediatric patient after the insertion of tympanostomy tubes? (Select all that apply.)&#10;A) &#34;I should restrict my child to quiet activities after surgery.&#34;&#10;B) &#34;It is important for my child to drink plenty of fluids after the procedure.&#34;&#10;C) &#34;I will remind my child to use ear plugs prior to showering and swimming.&#34;&#10;D) &#34;It is important to limit my child's diet after surgery and allow only soft,bland foods.&#34;&#10;E) &#34;I should plan to administer a decongestant to my child for 1 to 2 weeks following surgery.&#34;&#10;

Accepted Answer

The answer of Which parental statements indicate correct understanding of...

Deck 30: Child With a Sensory Impairment