ch 39 heent disorders Flashcards
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?
immature emotional behavior
the nurse is caring for a 3 month old with nasolacrimal duct obstruction. which intervention would be the most appropriate for the nurse to implement?
teaching the parents how to gently massage the duct
the nurse is caring for a 10 year old with allergic conjunctivitis. the nurse would be alert to the child’s increased risk for what issue?
atopic dermatitis
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?
uses his name before touching him
the nurse is instructing the parents of a school age child with an eye disorder how to care for her eye. which condition would the nurse explain as resolving by itself without the use of antibiotics?
chalazion
the nurse is caring for a 3 year old boy with amblyopia. which intervention would be most appropriate to include in the child’s plan of care?
promoting eye safety
the nurse is examining a 7 year old boy with blepharitis. what would the nurse least likely expect to assess?
pain
the nurse is caring for a newborn and knows that his vision, unlike his hearing is not fully developed. which aspects of the child’s vision would the nurse expect to be similar to his father’s vision?
visual acuity of 20/100
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?
being african american heritage
the nurse is examining a 3 year old boy with acute otitis media who has a mild earache and a temperature of 38.5 C. which action should be taken?
instruct the parent to watch for worsening symptoms
a nurse is examining a 7 year old boy with hordeolum (stye). which would the nurse expect to find?
pain
after teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?
the shorter and wider eustachian tubes of an infant increase the risk
a nurse develops a plan of care for a child that includes patching the eye. this plan of care would be the most appropriate for which condition?
amblyopia (one eye is weaker than the other)
after teaching a group of new parents about their newborn’s eyes and vision, which statement by the group indicates effective teaching?
we wont’ know the baby’s eye color until he is at least 6 months old
assessment of a child leads the nurse to suspect viral conjunctivitis based on what finding?
photophobia
what would the nurse include when teaching parent how to prevent otitis externa?
wearing earplugs while swimming
a nurse is reviewing the medical record for a child with hearing loss and notes that the child’s hearing loss is in the range 40-60 decibels. the nurse interprets this finding as indicating of what level of hearing loss?
moderate loss
a nurse is examining a child who has sustained blunt trauma to the eye area. the nurse suspects a simple contusion based on what finding?
intact extraocular movement
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?
laser surgery is typically not done until 18 years old
a nurse is developing a plan of care for a child who is admitted to the hospital for surgery. the child is visually impaired. what would be the most appropriate for the nurse to include in the child’s plan of care? select all that apply.
-explaining instructions using simple and specific terms the child understands
-allowing the child to explore the postoperative equipment with his hands
-using the child’s body parts to refer to the area where he may have post operative pain
a child with persistent otitis media with effusion is to undergo insertion of pressure equalizing tubes via myringotomy. the child is to be discharged later that day. after teaching the parents about caring for their child after discharge, which statement indicates that the teaching was successful?
he should wear earplugs when swimming in a pool or lake
an infant is diagnosed with a congenital cataract. what would the nurse expect to assess?
absent red reflex
a mother brings her child to the healthcare clinic because she thinks that the child has conjunctivitis. which assessment findings would lead the nurse to suspect bacterial conjunctivitis? select all that apply.
-inflamed conjunctiva
-mild pain
the nurse is instructing a 7 year old child and his parents about using his described corrective lenses. what would the nurse include in these instructions?
clean the glasses every day with mild soap and water or commercial cleaning agent
a group of students are reviewing information about the differences in the hearing and vision capabilities of a child when compared to an adult. the students demonstrate a need for additional study when they identify what as one of the differences?
the ability to discriminate colors is complete by birth
a child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotics. the child’s mother asks when he can return to school. which response by the nurse is most appropriate?
once the drainage is gone he can go back to school
the parents of a 5 year old bring their son to the emergency room because of significant eyelid edema. the mother states that he scratched himself near his eye a couple of days ago while playing outside in the yard. the nurse suspects periorbital cellulitis based on which finding?
purplish discoloration of the eyelid
after teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify what as the most common cause of visual difficulties in children?
refractive errors
an infant is diagnoses with infantile glaucoma. when developing a plan of care for the infant, for what would the nurse expect to prepare in the the infant and family?
goniotomy
