Deck 55: The Child With a Sensory Alteration

Question 1

The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye")should include what instruction?

A) Apply a patch to the child's eyeglass lenses.
B) Apply a patch only during waking hours.
C) Apply a patch over the "bad" eye to strengthen it.
D) Cover the "good" eye completely with a patch.

Answer 1

Cover the "good" eye completely with a patch.

Question 2

Which teaching guideline helps prevent eye injuries during sports and play activities?

A) Restrict helmet use to those who wear eye glasses or contact lenses.
B) Discourage the use of goggles with helmets.
C) Wear eye protection when participating in high-risk sports such as paintball.
D) Wear a face mask when playing any sport or playing roughly.

Answer 2

Wear eye protection when participating in high-risk sports such as paintball.

Question 3

Which statement best describes how a cataract affects a child's vision?

A) It increases intraocular pressure.
B) It alters the ability to distinguish between colors.
C) It causes double vision.
D) It prevents a clear image from forming on the retina.

Answer 3

It prevents a clear image from forming on the retina.

Question 4

The nurse is caring for a 2-year-old child who has a history of meningitis as an infant.The child is not speaking and does not turn the head to the sound of a rattle.Which type of hearing loss in a child is usually irreversible and may have resulted from a previous infection with meningitis?

A) Conductive
B) Sensorineural
C) Central
D) Mixed

Question 5

Which statement by a parent about conjunctivitis indicates that further teaching is needed?

A) "I'll have separate towels and washcloths for each family member."
B) "I'll notify my doctor if the eye gets redder or the drainage increases."
C) "When the eye drainage improves, we'll stop giving the antibiotic ointment."
D) "After taking the antibiotic for 24 hours, my child can return to school."

Question 6

A 13-year-old adolescent is suspected to have a visual deficit and is scheduled for further evaluation.She asks the nurse to tell "the truth" about the tests.What is the nurse's best response?

A) "Don't worry about anything. We're here to take good care of you."
B) "Ask your parents. They have talked with the physicians."
C) "Most of the vision tests are painless and noninvasive."
D) "Trust the doctors. They know what is best for you."

Question 7

What manifestation in a 5-month-old child could indicate visual problems?

A) Lack of binocularity
B) Visual acuity of 20/50
C) Strabismus
D) Hyperopia

Question 8

Which statement by a parent indicates understanding of instructions on the care of a child with conjunctivitis?

A) "I should treat my other children with these eyedrops to prevent spread of the disease."
B) "My child must remain home from school until he has received 72 hours of antibiotic drops."
C) "I should avoid touching the tip of the ointment tube to my child's eye."
D) "My child may go back to wearing his contact lenses 24 hours after treatment has started."

Question 9

Teaching parents about the use and application of an eye patch to treat strabismus should include which instruction?

A) Check the patched eye four times a day by removing the patch and replacing it after inspection.
B) Apply the patch directly to the face.
C) Sometimes patching alone will straighten the eye.
D) Negotiate with the child for the number of hours per day that the patch is to be worn.

Question 10

Parents of a 4-year-old child are concerned because he continues to stutter.What nursing intervention is correct?

A) Remind the parents that stuttering is normal in children younger than 10 years.
B) Inform the parents to have a speech evaluation performed if the stuttering continues beyond age 5 years.
C) Reinforce the fact that this common speech defect requires no treatment.
D) Tell the parents that speech problems are most treatable during the child's teen years.

Question 11

On the second postoperative day of an eye surgery,the child has puffy eyes,increased tearing,and fever.What is the most applicable nursing diagnosis?

A) Risk for Infection related to surgical procedure
B) Risk for Injury related to increased intraocular pressure
C) Disturbed Sensory Perception (Visual) related to surgical procedure
D) Acute Pain related to recent surgical intervention

Question 12

An adolescent boy goes to his primary care provider complaining of difficulty with his vision.When the nurse asks the adolescent to explain what visual deficits he is experiencing,the adolescent states,"I am having difficulty seeing distant objects; they are less clear than things that are close." What disorder does the nurse suspect the adolescent has?

A) Hyphema
B) Astigmatism
C) Amblyopia
D) Myopia

Question 13

The nurse should know that the results of untreated amblyopia ("lazy eye")in the child may include

A) Impaired depth perception
B) Strabismus
C) Color deficiency
D) Ptosis

Question 14

A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses.She states that the other children at her school call her "four-eyes." Contact lenses should be prescribed for a child who is

A) At least 12 years of age
B) Able to read all the written information and instructions
C) Able to independently care for the lenses in a responsible manner
D) Confident that she really wants contact lenses

Question 15

A 5-year-old girl diagnosed with chlamydial conjunctivitis should be carefully assessed for

A) Sexual abuse
B) Immune deficiency
C) Congenital cataract
D) Secondary glaucoma

Question 16

The correct position for the postoperative child who has had a cataract removed from the right eye is the _____ position.

A) Supine
B) Prone
C) Knee-chest
D) Right lateral Sims

Question 17

What is the most significant nursing intervention to prevent increasing intraocular pressure when caring for a child who has just returned from cataract eye surgery?

A) Monitor for hypertension, which is a symptom of increased intraocular pressure.
B) Prevent coughing and vomiting.
C) Lower the head of the bed slightly and place the eye in a dependent position.
D) Avoid use of steroids after the surgery.

Question 18

Initial care of the child with a chemical burn to the eye(s)is focused on

A) Irrigation of the affected eye(s)
B) Application of topical steroids
C) Administration of an analgesic
D) Administration of medication to constrict the pupils

Question 19

The teaching plan for a 7-year-old boy with color deficiency should include what instruction?

A) Buy only one color of clothing to ensure the child's ability to match items himself.
B) Patching the weaker eye will improve his color vision.
C) Teach him an alternate way to distinguish between the colors of traffic signals.
D) Botulism toxin drops will need to be administered every 2 months to improve color vision.

Question 20

A 2-year-old girl has excessive tearing and corneal haziness.The nurse knows that these symptoms may indicate

A) Viral conjunctivitis
B) Paralytic strabismus
C) Congenital cataract
D) Infantile glaucoma

Question 21

A patient who has a hyphema is at risk for developing

A) Glaucoma
B) Strabismus
C) Diplopia
D) Astigmatism

Question 22

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?

Question 23

A nurse suspects possible visual impairment in a child who displays

A) Excessive tearing of the eyes
B) Rapid lateral movement of the eyes
C) Delay in speech development
D) Lack of interest in casual conversation with peers

Question 24

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?

A) "Don't worry, he should catch up soon. Boys are always slower at speaking than girls."
B) "The doctor will want to refer your son to an audiologist and speech pathologist."
C) "This is normal speech development for an 18-month-old child."
D) "Your son has an expressive language disorder and will need a referral for further evaluation."

Question 25

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.

Question 26

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

A) Touch the child upon entering the room before speaking.
B) Keep items in the room in the same location.
C) Describe the placement of the eating utensils on the meal tray.
D) Use color examples to describe something to a child who has been blind since birth.
E) Identify noises for the child.

Question 27

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

A) Speak loudly.
B) Speak slowly.
C) Have the child's full attention.
D) Use visual aids.
E) Eliminate background noise.

Question 28

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

A) Applying a regular eye patch
B) Applying a Fox shield to the affected eye and any type of patch to the other eye
C) Applying ice until the physician is seen
D) Irrigating the eye copiously with a sterile saline solution

Question 29

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

A) Removing the patch after 8 hours for instillation of antibiotic ointment
B) Gently massaging the affected eye to prevent edema
C) Keeping the patch in place for 24 hours
D) Returning after 7 days of patching for reassessment

Question 30

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

A) Conductive
B) Sensorineural
C) Mixed conductive-sensorineural
D) Central auditory imperceptive

Question 31

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

A) Absence of the Moro reflex
B) Cessation of babbling at age 7 months
C) Lack of eye contact when being spoken to
D) Lack of gesturing to indicate wants after age 15 months