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The nurse recognizes that if the infant is following normal development, the infant will be able to focus and follow an object with the eyes by what age
2 months of age
The nurse is educating the parents of a 6-year-old child about preventing hearing loss. Which topic will be included in the discussion?
Prevention and treatment of otitis media
During physical assessment of a 2-year-old child, the nurse becomes concerned that the child may have a cataract in one eye. Which sign or symptom suggests the child has a cataract?
absence of red reflex
A toddler is diagnosed with acute otitis media and prescribed antipyretics and numbing ear drops. Which instruction is most important to teach the parents about treatment
how to administer ear drops
A nursing instructor is teaching about eye disorders in childhood. Which statement made by a student indicates a need for further instruction?
"Cataracts are only present in adults."
A parent brings the child for a well-child visit. During the visit, the parents state the child appears to not be seeing well. To obtain information needed to aid in a diagnosis, which question(s) should the nurse ask the parents? Select all that apply.
"Has your child been reporting any blurred vision?" "Has your child's school work remained good?" "Does your child report a headache when reading?" "Have you noticed your child squinting?"
The parents of a toddler have just learned that their child has profound hearing loss. The parents are very upset and state to the nurse, "It just isn't fair. We did everything right during our pregnancy all the way to this point." How should the nurse respond?
"I can't imagine how difficult this must be. When you're ready I would be happy to arrange a meeting with a support group of other parents with children who have hearing loss."
The nurse has finished teaching the parents of a 10-month-old male ways to prevent another acute otitis media (AOM) infection. Which statement by the mother indicates she has the correct understanding of the information provided?
"I should continue to breastfeed my son because it lowers the incidence of acute otitis media."
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 him."
A toddler has been diagnosed with otitis media with effusion. The parents tell the nurse, "We really don't understand what that diagnosis means." How should the nurse respond?
"The diagnosis means unwanted fluid is within the middle ear space, and there may or may not be an infection present."
The nurse is educating the parents of a 7-year-old boy 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 he can hear us."
The nurse is caring for a 20-month-old girl 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 educating the parents of an 18-month-old child being prepared to receive cochlear implants. Which statement by the parents requires further teaching?
After the implant surgery our child will have normal hearing.
The 12-year-old child has developed a stye. Which may be included in the child's care?
Apply hot, moist compresses to the affected area.
The nurse is caring for a 24-month-old boy with regressed retinopathy of prematurity. Which intervention is priority for this child?
Assessing the child for asymmetric corneal light reflex
In children with otitis media, a procedure known as a myringotomy may be performed. Which statement is most accurate regarding this procedure?
During this procedure, small tubes are inserted into the typmpanic membrane.
The nurse is teaching the family of a 6-year-old boy with allergic conjunctivitis how to minimize his exposure to allergens. What action would the nurse anticipate as being most difficult for the family to implement?
Encouraging the child to keep his hands away from his eyes
The nurse is caring for a child diagnosed with otitis media with effusion (OME). Which information is most important for the nurse to teach the parents?
Have the ear rechecked every 4 weeks.
A 4-month-old child underwent cataract surgery 3 hours ago. The parents ask why they are only allowed to give the child small amounts of fluid now. How does the nurse respond?
Introducing fluids slowly reduces the risk of vomiting, which can increase intraocular pressure."
The parents of a newborn with congenital hearing loss ask the nurse if they should take sign language lessons to learn to communicate with their newborn. How does the nurse best respond?
Introducing sign language early is controversial; some people believe it will improve communication and others feel that it delays learning to speak.
The nurse is caring for a child who has conductive hearing loss. What is true regarding this type of hearing loss?
It is caused by chronic otitis media or another infection.
A child returns to the clinic after an episode of external otitis (acute otitis externa or swimmer's ear) that has resolved. What would the nurse emphasize as the priority for preventing future episodes?
Keeping ear canals dry
A 4-month-old infant is seen at the ambulatory care clinic and diagnosed with nasolacrimal duct obstruction. The parent asks what can be done. What information should be included in the information provided to the parent?
Most of these conditions will spontaneously resolve.
A parent calls the nurse triage line to say the child accidentally got hit in the eye and the parent believes the child will have a black eye. Which instruction is important for the nurse to provide this parent?
Place ice on the eye for 20 minutes/off the eye for 20 minutes for 24 hours.
After performing eye tests, the school nurse notes a child has symptoms of myopia. Which recommendation will the nurse make to the child's teacher?
Place the child close to the blackboard.
The nurse is taking a health history for a 9-year-old child with conjunctivitis. Which finding would suggest that this is allergic conjunctivitis?
Recently helped clean the basement
The nurse is caring for a 6-month-old infant diagnosed with otitis media. Which clinical manifestation would likely have been noted in this child?
Shaking the head and pulling the ear
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 most common cause?
Staphylococcus aureus
The school nurse is instructing the classroom teacher regarding a student newly diagnosed with amblyopia. To prepare for classroom instruction, which concept is most important for the nurse to convey to the teacher?
Student placement in the room is important but all other teaching methods may remain the same.
The nurse is performing a physical assessment for an 8-year-old child with an earache. Which sign or symptom indicates external otitis (acute otitis externa or swimmer's ear)?
The child cries out when the ear is grasped.
A parent of a newborn asks the nurse if there is any way to prevent acute otitis media. What would the nurse state to the parent?
The frequency of otitis media is reduced in breastfed infants.
A child having tympanostomy tubes placed asks, "How and when will the tubes be removed?" What is the nurse's best response?
The tubes remain in place for 6 to 12 months until they come out by themselves."
The nurse is educating the parents of a 5-year-old girl with infectious conjunctivitis about the disorder. Which information is most important to provide to prevent the spread of the disorder?
Washing hands frequently
The parents of an 8-year-old child report that the child's teachers noted the child is having problems seeing the board in school but state they do not understand this since the child is able to read from the computer with no difficulty. Which response from the nurse is most appropriate?
What you are describing may be what is called myopia."
The nurse is caring for a 6-year-old boy with sensorineural hearing loss. Which is the least likely cause of the child's hearing loss?
acute otitis media
The nurse is screening a 4-year-old girl for vision problems. What problem could result in loss of vision?
amblyopia
The nurse is teaching a group of parents about eyes and eye concerns. The nurse tells these caregivers about a condition that occurs when unequal curvatures in the cornea bend the light rays in different directions and this causes images to be blurred. The condition the nurse is referring to is
astigmatism
The nurse is caring for a child who has had persistent otitis media effusions and is scheduled to have pressure equalizing tubes placed in 3 days. What should the parents observe after the tubes have been placed?
improvement of the child's language and speech development
The nurse is assessing a child with an eye problem. Which symptom, if present, would rule out a hordeolum?
reddened conjunctiva
