Child Health - Eye/Ear

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Author:
nursedaisy98
ID:
256692
Filename:
Child Health - Eye/Ear
Updated:
2014-04-20 10:46:20
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NCLEX RN
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Child Health
Description:
Eye/Ear
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  1. The nurse prepares a teaching plan for the mother of a child diagnosed with bacterial conjunctivitis. Which, if stated by the mother, indicates a need for further teaching? 
    1. "I need to wash my hands frequently." 
    2. "I need to clean the eye as prescribed." 
    3. "It is okay to share towels and washcloths." 
    4. "I need to give the eye drops as prescribed."
    3. "It is okay to share towels and washcloths."
  2. Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of tympanostomy tubes. The nurse provides discharge instructions to the parents regarding the administration of the antibiotics. Which statement, if made by the parents, indicates understanding of the instructions provided? 
    1. "Administer the antibiotics until they are gone." 
    2. "Administer the antibiotics if the child has a fever." 
    3. "Administer the antibiotics until the child feels better." 
    4. "Begin to taper the antibiotics after 3 days of a full course."
    1. "Administer the antibiotics until they are gone."
  3. 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.
    2. The child consistently tilts the head to see.
  4. A child has been diagnosed with acute otitis media of the right ear. Which interventions should the nurse include in the plan of care? Select all that apply. 
    1. Provide a soft diet. 
    2. Position the child on the left side. 
    3. Administer an antihistamine twice daily. 
    4. Irrigate the right ear with normal saline every 8 hours. 
    5. Administer ibuprofen (Motrin IB) for fever every 4 hours as prescribed and as needed. 
    6. Instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy.
    • 1. Provide a soft diet. 
    • 5. Administer ibuprofen (Motrin IB) for fever every 4 hours as prescribed and as needed. 
    • 6. Instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy.
  5. An adolescent client is diagnosed with conjunctivitis, and the nurse provides information to the client about the use of contact lenses. Which client statement indicates the need for further information? 
    1. "I should obtain new contact lenses." 
    2. "I should not wear my contact lenses." 
    3. "My old contact lenses should be discarded." 
    4. "My contact lenses can be worn if they are cleaned as directed."
    4. "My contact lenses can be worn if they are cleaned as directed."
  6. The nurse in the health care clinic receives a telephone call from the mother of a child who reports that an insect has somehow flown into the child's ear. The mother reports that the child is complaining of a buzzing sound in the ear. Which priority instruction should the nurse provide to the mother? 
    1. Irrigate the ear. 
    2. Report to the clinic immediately. 
    3. Use a tweezers to try to remove the insect. 
    4. Use a flashlight to coax the insect out of the ear.
    4. Use a flashlight to coax the insect out of the ear.
  7. A 10-year-old child complains of ear pain that is aggravated by palpation of the auricle. A foul-smelling, yellow, tenacious discharge is noted in the ear canal, and the child is diagnosed with acute otitis externa. In providing information to the child and parent, the nurse emphasizes which information? 
    1. Dizziness is common with this disorder. 
    2. Cotton-tipped applicators should be used to clean the ears. 
    3. Nothing smaller than the child's elbow should be placed in the ear. 
    4. Biannual ear testing must be done by a special health care provider (HCP).
    3. Nothing smaller than the child's elbow should be placed in the ear.
  8. 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
    1. Acute pain
  9. A 4-year-old child is diagnosed with otitis media. The mother asks the nurse about the causes of this illness. The nurse responds, knowing that which conditions are risk factors related to otitis media? 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 
    • 5. Congenital conditions such as cleft palate
  10. 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 appropriate and supportive response by the nurse? 
    1. "The infant will probably need surgery." 
    2. "This condition is probably permanent." 
    3. "It bears watching 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."
    4. "This is normal in the young infant but should not be present after the age of about 4 months."
  11. 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.
    2. Place the patch on the left eye.
  12. The mother of a child who has undergone a myringotomy, with insertion of tympanostomy tubes, telephones and tells the nurse that the tubes have fallen out. Which is the appropriate response to the mother? 
    1. "Replace the tubes immediately so that the opening does not close." 
    2. "Place the tubes in hydrogen peroxide for 1 hour before replacing them in the child's ears." 
    3. "This is not an emergency. I will speak to the health care provider (HCP) and call you right back." 
    4. "This is an emergency and requires immediate intervention. Bring the child to the emergency department."
    3. "This is not an emergency. I will speak to the health care provider (HCP) and call you right back."
  13. The nurse is providing home care instructions to the mother of a child who has bacterial conjunctivitis. The nurse should provide the mother with which information? 
    1. The child may attend school if antibiotics have been started. 
    2. Any unused eye medication should be saved in case a sibling gets the eye infection. 
    3. The child's towels and washcloths should not be used by other members of the household. 
    4. Any crusted material should be wiped from the eye with a cotton ball soaked in warm water, starting at the outer aspect of the eye and moving toward the inner aspect.
    3. The child's towels and washcloths should not be used by other members of the household.
  14. A nurse provides discharge instructions to the mother of a child following a myringotomy with insertion of tympanostomy 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 then place in my child's ears before a bath."
    3. "My child can swim in the lake or pool as long as the water is not too deep."
  15. A nurse is providing home care instructions to a mother of a 9-year-old child diagnosed with viral conjunctivitis. Antibiotic eye drops are prescribed for the child. Which statement by the mother indicates the teaching has been effective? 
    1. "My child can return to school immediately because my child is not contagious." 
    2. "My child cannot return to school until seen by the health care provider in 2 to 3 days." 
    3. "My child needs to stay at home for 1 week to complete the entire prescription of eye drops." 
    4. "My child will need to stay home until my child has received the antibiotic eye drops for 24 hours."
    4. "My child will need to stay home until my child has received the antibiotic eye drops for 24 hours."
  16. A nurse is providing discharge instructions to the parents of a child with strabismus of the right eye. The health care provider has prescribed patching for the child, and the parent is instructed in the procedure. Which statement by the parent indicates the teaching has been effective? 
    1. "I will place the patch on the left eye." 
    2. "I will place the patch on both eyes." 
    3. "I will alternate the eye patch daily." 
    4. "I will place the patch on the right eye."
    1. "I will place the patch on the left eye."
  17. The nurse is caring for a 2-year-old child with an ear infection who requires the administration of antibiotic ear drops. The nurse observes the mother administering the ear drops 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.
    2. The mother pulls the earlobe down and back.
  18. An ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanostomy 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. Give one children's aspirin with water. 
    2. Administer acetaminophen (Tylenol). 
    3. Call the health care provider immediately. 
    4. Call the pharmacist for a stronger analgesic.
    2. Administer acetaminophen (Tylenol).
  19. 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 discontinued as soon as possible." 
    4. "I should not provide my infant with a bottle during naptime."
    2. "I need to stop breast-feeding as soon as possible."
  20. The nurse has a prescription to give ear drops to a 2-year-old child. Which position should the nurse use to pull the pinna of the ear? 
    1. Upward and outward 
    2. Upward and backward 
    3. Downward and outward 
    4. Downward and backward
    4. Downward and backward

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