Question 1

The nurse is developing a plan of care for a 5-year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have most likely assessed?

Accepted Answer

Immature emotional behavior is common in children with severe hearing impairments due to difficulties in social interaction and communication, which can impact their emotional development.

Question 2

The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement?

Accepted Answer

Gentle massage of the nasolacrimal duct can help to relieve the obstruction by promoting drainage of the duct. This is a common and effective non-invasive intervention for nasolacrimal duct obstruction in infants.

Question 3

The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to the child's increased risk for which of the following?

Accepted Answer

Children with allergic conjunctivitis often have other atopic conditions, such as atopic dermatitis, due to their predisposition to allergic reactions.

Question 4

The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child?

Accepted Answer

Using the child's name before touching him helps to orient and reassure the visually impaired child, promoting effective communication and reducing anxiety.

Question 5

The nurse is instructing the parents of a school-age child with an eye disorder how to care for her eye. Which of the following conditions would the nurse explain as resolving by itself without the use of antibiotics?

Accepted Answer

Chalazion is a condition that often resolves on its own without the need for antibiotics. It is a cyst in the eyelid due to a blocked oil gland and typically goes away with warm compresses and gentle massage over weeks to months.

Question 6

The nurse is caring for a 4-year-old boy with infectious conjunctivitis. Which intervention would be least appropriate to include in the child's plan of care?

Accepted Answer

Promoting eye safety is least appropriate in the context of managing infectious conjunctivitis. The primary focus should be on treating the infection and preventing its spread, which involves rinsing the eye to alleviate discomfort, educating the family about the condition and how it spreads, and encouraging good hygiene practices like frequent hand washing. Eye safety, while important in general, does not directly address the immediate needs related to managing infectious conjunctivitis.

Question 7

The nurse is examining a 7-year-old boy with blepharitis. Which of the following would the nurse least likely expect to assess?

Accepted Answer

Blepharitis typically presents with symptoms such as redness, scaling, and edema around the eyelids, but pain is not a common symptom, making it the least likely to be assessed in this condition.

Question 8

The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision?

Accepted Answer

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

Question 9

The nurse is taking a health history for a 9-year-old girl. Which finding would alert the nurse to a possible risk factor specifically associated with visual impairment?

Accepted Answer

Being of African American heritage is associated with a higher risk of certain eye conditions, such as glaucoma and cataracts, which can lead to visual impairment. The other options listed do not specifically indicate a higher risk of visual impairment.

Question 10

The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5º C. Which of the following actions will be taken?

Accepted Answer

In cases of mild acute otitis media, especially in children, it is often recommended to observe and monitor for worsening symptoms before administering antibiotics, as many cases resolve on their own.

Question 11

A nurse is examining a 7-year-old boy with hordeolum. Which of the following would the nurse expect to find?

Accepted Answer

The answer of A nurse is examining a 7-year-old boy...

Question 12

After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?

Accepted Answer

The shorter and wider eustachian tubes in infants make it easier for bacteria and viruses to reach the middle ear, increasing the risk of ear infections.

Question 13

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

Accepted Answer

Patching the eye is a common treatment for amblyopia, also known as "lazy eye," where the vision in one eye is reduced because the eye and brain are not working together properly. Patching the stronger eye forces the weaker eye to work harder, thereby improving its vision.

Question 14

After teaching a group of new parents about their newborns' eyes and vision, which statement by the group indicates effective teaching?

Accepted Answer

Newborns' eye color can change over the first few months, and it may take up to 6 months or longer for the permanent eye color to be established.

Question 15

Assessment of a child leads the nurse to suspect viral conjunctivitis based on which of the following?

Accepted Answer

The answer of Assessment of a child leads the nurse...

Question 16

The mother of a school-age child brings the child to the clinic for evaluation because he is having difficulty reading. His last visual screening was normal. He also complains of headaches and dizziness. Which of the following would the nurse suspect?

Accepted Answer

Astigmatism can cause difficulty in reading, headaches, and dizziness due to the irregular shape of the cornea or lens, leading to blurred vision at all distances.

Question 17

Which of the following would the nurse include when teaching parents how to prevent otitis externa?

Accepted Answer

Wearing ear plugs when swimming can help prevent water from getting trapped in the ear canal, which is a common cause of otitis externa (also known as swimmer's ear). This condition is often caused by water remaining in the ear after swimming, creating a moist environment that facilitates bacterial growth.

Question 18

A nurse is reviewing the medical record of a child with hearing loss and notes that the child's hearing loss is in the range 40 to 60 decibels (dB). The nurse interprets this as indicating which of the following?

Accepted Answer

Hearing loss in the range of 40 to 60 decibels is considered moderate. This level of hearing loss can make it difficult to understand normal conversation, especially in noisy environments.

Question 19

A nurse is examining a child who has sustained blunt trauma to the eye area. The nurse suspects a simple contusion based on which of the following?

Accepted Answer

Intact extraocular movements suggest that there is no significant injury to the muscles or nerves controlling eye movement, which is consistent with a simple contusion rather than a more serious injury.

Question 20

The parents of a 10-year-old girl with a refractive error ask the nurse about the possibility of laser surgery to correct the vision. Which statement by the nurse would be most appropriate?

Accepted Answer

Laser surgery, such as LASIK, is generally not recommended until a person's eyes have fully matured, which is typically around the age of 18. This is because the refractive error (the need for glasses or contact lenses) can change as a child grows.

Quiz 39: Nursing Care of the Child With an Alteration in Sensory Perception/Disorder of the Eyes or Ears