ch 17 nclex
The nurse is discussing communication options with the parents of a 2-year-old child with congenital hearing loss. The nurse integrates knowledge of what form of communication as having no verbal component?
American Sign Language
A nurse is preparing a presentation for a group of parents who have children with significant visual impairment. What would the nurse be least likely to include as an example of self-stimulatory actions?
Shouting
A 12-year-old child expresses embarrassment about having to start wearing glasses. What is the best response by the nurse?
"Let's talk about what it will be like wearing them for the first time."
The nurse in the emergency department is caring for a child who has a simple contusion of the right eye following a motor vehicle accident. Upon discharge to home, which response by the parents requires further clarification?
"I will need to apply heat to the eye four times a day."
The nurse is obtaining the history from the parents of an infant who is suspected of having infantile glaucoma. Which statement by the parents would help to confirm this suspicion?
"It seems like bright lights really bother our child."
The nurse is educating the parents of a 7-year-old child who has hearing loss due to otitis media with effusion. Which statement by the parents indicates that further education is needed?
"We need to raise the volume of our voices significantly so our child can hear us."
The nurse is caring for a 6-year-old child with sensorineural hearing loss. Which would the nurse be least likely to identify as the cause of the child's hearing loss?
Acute otitis media
The nurse is caring for a 20-month-old child with equivocal bacterial otitis media, a severe earache, and a temperature of 39°C (102.2°F). Which intervention would the nurse expect to implement?
Administering antibiotics as soon as they're available
The nurse is screening a 4-year-old child for vision problems. What problem could result in loss of vision?
Amblyopia
The parent of a 4-week-old infant is discussing what babies see with the nurse. What information should be included? (Select all that apply.)
Children will not have 20/20 vision until they are school age., Infants experience blurry vision due to the immaturity of their eye structures., Your baby can see about 8 to 10 in.
A child is being prepared for discharge after sustaining a simple contusion of the eye. Which advice would the nurse expect to include in the discharge instructions?
Encourage the parents to apply ice to the area for 20 minutes at a time for the first 24 hours.
The nurse is teaching the family of a 6-year-old child with allergic conjunctivitis how to minimize the exposure to allergens. What action would the nurse anticipate as being most difficult for the family to implement?
Encouraging the child to keep the hands away from the eyes
The nurse is providing immediate postoperative care for a 3-month-old who had a cataract removed. Which intervention would be the priority?
Ensuring the protective eye patch is securely in place
A child returns to the clinic after an episode of otitis externa, which has resolved. What would the nurse emphasize as the priority for preventing future episodes?
Keeping ear canals dry
nurse is assessing a toddler who is brought to the clinic by the parent. The parent states, "My toddler has been so irritable lately and I've noticed the toddler frequently pulling on the right ear." The nurse suspects acute otitis media based on which assessment findings? (Select all that apply.)
Low-grade fever, Loss of appetite, Red bulging tympanic membrane
A group of students are reviewing the various causes of bacterial conjunctivitis in children. The students demonstrate understanding of this condition when they identify what as the common causes? (Select all that apply.)
Neisseria gonorrhoeae, Streptococcus pneumoniae, Haemophilus influenzae, Chlamydia trachomatis, Staphylococcus aureus
The nurse is assessing a child with a hordeolum. Which would the nurse be least likely to observe?
Reddened conjunctiva
A nurse is preparing a presentation for a group of parents about vision impairment. When describing the causes, what would the nurse include as a common cause? (Select all that apply.
Refractive error, Retinopathy of prematurity, Infantile glaucoma, Amblyopia
While obtaining the health history for an 11-year-old child, the nurse suspects the child may have myopia based on what information? (Select all that apply.)
The child tells the nurse that they have to squint to see their teacher write on the white board at the front of the classroom., The child tells the nurse that it is difficult to see the ball in the outfield when playing baseball., The parent tells the nurse that the child always wants to set close to the movie screen, but never did in the past.
The nurse is caring for an 11-year-old with otalgia and fever. When reviewing the child's medical record, which would the nurse identify as a risk factor for acute otitis media?
The parent has had recurrent otitis media.
The nurse is performing an assessment on a child who is 6 days old. When assessing the eyes, the nurse notes the presence of a bluish tinge to the sclerae. What can the nurse infer about this finding?
This is normal in infants up to several weeks of age.
when developing the plan of care for a child with a visual impairment, what would the nurse include? (Select all that apply.)
Using touch and tone of voice to demonstrate affection, Ensuring that the child's environment is familiar and secure, Encouraging activities to stimulate development
After conducting vision screening and examination of a preschooler, the nurse suspects amblyopia based on:
asymmetric corneal light reflex.
Vision screening reveals that a child has myopia. The nurse interprets this as:
light rays being focused in front of the retina.
The nurse is assessing a 13-year-old adolescent with an eye injury. The nurse determines that evaluating pupillary response to light and accommodation is not appropriate based on the suspicion of a:
scleral hemorrhage.
