pediatrics-eyes and ears

The health care provider prescribes patching for a child with strabismus of the right eye, and the nurse instructs the mother regarding this procedure. What should the nurse include in the instructions? 1. Place the patch on both eyes. 2. Place the patch on the left eye. 3. Place the patch on the right eye. 4. Alternate the patch from the right to the left eye hourly.

Place the patch on the left eye.

The day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse indicates the presence of this condition? 1. The child has difficulty hearing. 2. The child consistently tilts the head to see. 3. The child does not respond when spoken to. 4. The child consistently turns the head to hear.

The child consistently tilts the head to see.

The nurse is caring for a 2-year-old child with an ear infection who requires the administration of antibiotic eardrops. The nurse observes the mother administering the eardrops to the child. Which observation by the nurse indicates that the mother is performing the procedure correctly? 1. The mother pulls the earlobe up and back. 2. The mother pulls the earlobe down and back. 3. The mother holds the child in a sitting position. 4. The mother must wear gloves to administer the medication.

The mother pulls the earlobe down and back.

The nurse is providing care to a child admitted for acute otitis media. What is the nurse's priority concern for this child? 1. Acute pain 2. Problems with skin integrity 3. Risk for interrupted breathing patterns 4. Mucous membrane dryness and cracking

acute pain duh

The nurse provides discharge instructions to the mother of a child following a myringotomy with insertion of tympanoplasty tubes. Which statement by the mother indicates the need for further teaching? 1. "My child should not swim or dive in deep water." 2. "I need to prevent my child from blowing the nose." 3 "My child can swim in the lake or pool as long as the water is not too deep." 4. "I will put Vaseline on cotton balls and place them in my child's ears before a bath."

"My child can swim in the lake or pool as long as the water is not too deep."

The mother arrives at a well-baby clinic with her 1-month-old infant. She expresses concern because one of the infant's eyes appears to be crossed. What is the nurse's best response? 1. "The infant will probably need surgery." 2. "This condition is probably permanent." 3. "It requires monitoring because the other eye may do the same thing." 4. "This is normal in the young infant but should not be present after the age of about 4 months."

"This is normal in the young infant but should not be present after the age of about 4 months."

An ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanoplasty tubes on the previous day. The mother of the child tells the nurse that the child is complaining of discomfort. What should the nurse instruct the mother to do? 1. Administer acetaminophen. 2. Give one children's aspirin with water. 3. Call the pharmacist for a stronger analgesic. 4. Call the health care provider immediately.

Administer acetaminophen. duh

The nurse is assisting in providing an educational session to new mothers regarding the methods that will decrease the risk of recurrent otitis media in infants. Which statement by a mother in the group indicates a need for further teaching 1. "I need to feed my infant in an upright position." 2. "I need to stop breast-feeding as soon as possible." 3. "Bottle-feeding should be stopped as soon as possible." 4. "I should not provide my infant with a bottle during naptime."

"I need to stop breast-feeding as soon as possible."

A 4-year-old child is diagnosed with otitis media. The mother asks the nurse about the causes of this illness. Which risk factors should the nurse include in response to this mother? Select all that apply. 1. Bottle-feeding 2. Household smoking 3. Exposure to illness in other children 4. A history of urinary tract infections 5. Congenital conditions such as cleft palate

1. Bottle-feeding 2. Household smoking 3. Exposure to illness in other children 4. A history of urinary tract infections 5. Congenital conditions such as cleft palate