Question 1

The nurse is caring for a 10-year-old child with bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick, yellow discharge. What should the nurse teach the patient about the care of the eye?

A) Do not attend school for 2 weeks.
B) Use ophthalmic drops for 3 days.
C) Keep the eye covered at all times.
D) Clean the discharge away from the inner to outer canthus.

Clean the discharge away from the inner to outer canthus.

Accepted Answer

Conjunctivitis is inflammation of the conjunctiva that causes pustular drainage. The eye should be cleansed from the inner to the outer canthus to prevent the spread of infection to the other eye. School does not need to be missed for 2 weeks with this eye infection. Ophthalmic medication should be used as prescribed, which might be longer than 3 days. The eye does not need to be covered.

Question 2

A mother is concerned that her toddler is diagnosed with amblyopia. What should the nurse explain as possible treatments for this eye condition? (Select all that apply.)&#10;A) Wearing corrective eye glasses&#10;B) Covering the good eye with a patch&#10;C) Using a patch and corrective eye glasses&#10;D) Applying eye drops prior to applying an eye patch&#10;E) Scheduling for immediate surgery to cut the eye muscle

Accepted Answer

Treatment for amblyopia can consist of wearing correcting glasses, covering the good eye with a patch, or a combination of the two. An additional option is using the medication levodopa and an eye patch. LASIK surgery might be considered, which corrects the refractive error but does not cut the eye muscle.

Question 3

The outpatient care clinic receives the 2020 National Health Goals that focus on prevention, early detection, treatment, and rehabilitation of vision problems. What should the nurse remind each patient to do to ensure eye health?

A) Flush the eyes every day with cool water.
B) Instill artificial tears in the eyes at least twice a day.
C) Cleanse the eyes with soap and warm water while taking a shower.
D) Use personal protective eyewear during recreation and hazardous situations.

Use personal protective eyewear during recreation and hazardous situations.

Accepted Answer

Nurses can help the nation achieve the 2020 National Health Goals that focus on prevention, early detection, treatment, and rehabilitation of vision problems by reminding all patients to use personal protective eyewear in recreational activities and hazardous situations around the home. This goal will not be met by instructing patients to flush the eyes with water, use artificial tears, or cleanse the eyes with soap and warm water.

Question 4

A school-age child comes into the emergency department with tearing and pain in the right eye. Which method will the nurse use to assess for foreign body under the upper eye lid?&#10;A) Evert the upper lid.&#10;B) Apply topical anesthesia to the upper lid.&#10;C) Apply cool water to the lid to cause it to retract.&#10;D) Catch the child's attention with a toy so that he looks down.

Accepted Answer

Foreign bodies such as sand or dirt that are loose on the conjunctiva can be removed by gentle wiping with a well-moistened, sterile, cotton-tipped applicator after the eyelid is everted. Topical anesthetic, cool water, and diversion are not appropriate methods to assess for a foreign body under the upper eye lid.

Question 5

When assessing school-age children for vision problems, which child would be most important for the nurse to assess for a deficiency in color perception?&#10;A) A girl who was born prematurely&#10;B) A boy who does not participate well in art class&#10;C) A boy who has had frequent middle ear infections&#10;D) A girl whose teacher reports that she rubs her eyes

Accepted Answer

Color deficit is the inability to perceive color correctly. It occurs in 4% to 8% of boys because one of the sets of cones of the retina that perceive red, green, or blue is absent. It is important for the loss of color perception to be detected early so the child can learn changes in traffic signals or other color-dependent signs necessary for safety. The child who does not participate well in art class could be color blind. Since this is a condition that occurs in boys, the girls do not need to be assessed for color deficit. Color deficit is not associated with ear infections.

Question 6

During a routine hearing test, a school-age boy is discovered as having a hearing level of 60 dB. What does this finding indicate to the nurse about the child's ability to hear?&#10;A) Whispering only&#10;B) Very loud noises only&#10;C) Able to hear all noises and sounds&#10;D) Difficulty with normal conversation

Accepted Answer

At the hearing level of 60 dB, the person will have difficulty with normal conversation. A person who can hear whispered words is not experiencing a hearing loss. The person who can only hear loud noises would have a severe hearing loss at the decibel level between 70 and 90. The person who is able to hear all noises and sounds is not experiencing a hearing loss.

Question 7

The nurse is planning care for a toddler who is diagnosed with a profound hearing loss. Which nursing diagnosis should the nurse identify as the priority once the child is discharged?&#10;A) Risk for injury related to hearing loss&#10;B) Social isolation related to effects of hearing loss&#10;C) Impaired verbal communication related to congenital hearing deficit&#10;D) Risk for parental role strain related to responsibilities of caring for sensory impaired child

Accepted Answer

The child is a toddler and will be exploring areas throughout and outside of the home. With a hearing deficit, the child will not be able to hear any warnings from the parents. This increases the child's risk of injury related to the hearing loss. The child may or may not experience social isolation from the hearing loss. It is too soon to determine if the child will have impaired verbal communication, and it is unknown if the hearing deficit is congenital. The parents will be challenged to care for a sensory impaired child; however, the child's risk for injury would be the priority.

Question 8

The nurse is caring for a preschool-age child diagnosed with acute otitis media. Which intervention should be a priority for the nurse?&#10;A) Relieving pain&#10;B) Administering a mydriatic&#10;C) Cautioning the child not to blow the nose&#10;D) Cautioning the child not to pull on the ear

Accepted Answer

Acute otitis media causes sharp, constant pain in one or both ears. Older children can verbalize they have pain and point to where it is at. Relief of pain should be the nurse's priority when caring for this patient. A mydriatic is a medication for an eye disorder.
There is no reason why the child cannot blow the nose. Pulling on the ear is an attempt to reduce the pain.

Question 9

The nurse is preparing a program for the parents of school-age children on ways to prevent hearing loss. What information should the nurse include in this program? (Select all that apply.)&#10;A) Avoid placing any objects into the ears.&#10;B) Ensure that all immunizations are current.&#10;C) Use over-the-counter remedies to treat sore throats.&#10;D) The impact of chronic exposure to loud music when using earphones.&#10;E) Protect the ears with earplugs or earmuffs when in loud environments.

Accepted Answer

Strategies to protect hearing include not placing any objects into the ears, ensuring that all immunizations are current, understanding the impact of chronic exposure to loud music when using earphones, and protecting the ears when in loud environments. The nurse should teach that prompt treatment should be obtained for sore throats because these can lead to middle ear infections.

Question 10

The nurse instructs a hearing-impaired school-age child on to how self-inject a prescribed medication. Which observation indicates to the nurse that additional teaching is required?&#10;A) The child pinches the skin together before inserting the needle.&#10;B) The child injects the appropriate amount of air into the vial before withdrawing medication.&#10;C) The child places the filled syringe and uncapped needle on the bed to open the alcohol wipe.&#10;D) The child slowly pushes on the plunger to inject the medication before withdrawing the needle.

Accepted Answer

Children who are unable to hear may need additional time for explanations and support. By placing the syringe and uncapped needle on the bed, the child is contaminating the needle. This would indicate that additional teaching is necessary. Pinching the skin, injecting air, and slowly pushing on the plunger all indicate that teaching has been effective.

Question 11

A child having myringotomy tubes placed asks, &#34;How and when will the tubes be removed?&#34; What should the nurse respond to this patient?&#10;A) &#34;The tubes are not removed; they grow permanently into place.&#34;&#10;B) &#34;You will have them replaced every 2 months until you reach age 18 years.&#34;&#10;C) &#34;The tubes remain in place for 6 months and then are dissolved by vinegar.&#34;&#10;D) &#34;The tubes remain in place for 6 to 12 months until they come out by themselves.&#34;

Accepted Answer

The answer of A child having myringotomy tubes placed asks,...

Question 12

The nurse is planning care for a school-age child with a black eye. Which outcome would be the most appropriate for this patient?&#10;A) The swelling will be reduced in a month.&#10;B) Evidence of bleeding will be reabsorbed within 1 to 3 weeks.&#10;C) The child will have double vision upon waking in the morning.&#10;D) The child will begin wearing corrective lenses after the swelling subsides.

Accepted Answer

The answer of The nurse is planning care for a...

Question 13

The nurse is caring for a child recovering from surgery to correct strabismus. Which interventions should the nurse include when planning this child's care? (Select all that apply.)&#10;A) Apply an eye patch.&#10;B) Maintain on bed rest for 3 days.&#10;C) Support for nausea and vomiting.&#10;D) Provide pain medication as prescribed.&#10;E) Apply antibiotic ointment as prescribed.

Accepted Answer

The answer of The nurse is caring for a child...

Question 14

A school-age child who is blind is hospitalized for another health problem. What should the nurse say when providing the child with a meal tray?&#10;A) &#34;Here is your tray; if you need help, just call me.&#34;&#10;B) &#34;I'll have to feed you lunch; spaghetti is very messy.&#34;&#10;C) &#34;I have cut your meat for you. Do you need any other help?&#34;&#10;D) &#34;You have a sandwich on your plate, a glass of milk to your right, and an apple to your left.&#34;

Accepted Answer

The answer of A school-age child who is blind is...

Question 15

An infant born with congenital glaucoma is scheduled for surgery. Which preoperative order should the nurse question for this patient?&#10;A) A preoperative antibiotic&#10;B) Nothing by mouth prior to surgery&#10;C) A preoperative injection of atropine&#10;D) Arm restraints to be applied after surgery

Accepted Answer

The answer of An infant born with congenital glaucoma is...

Deck 50: Nursing Care of a Family When a Child Has a Vision or Hearing Disorder