Nursing Care of Children Principles and Practice 3rd edition by Susan R. James
Nursing Care of Children Principles and Practice 3rd edition by Susan R. James
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Chapter 31: The Child with a Sensory Alteration
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| a. | hyphema. |
| b. | astigmatism. |
| c. | amblyopia. |
| d. | myopia. |
ANS: D
| Feedback | |
| A | Hyphema includes hemorrhage in the anterior chamber and is not a refractive disorder. |
| B | Astigmatism is caused by an abnormal curvature of the cornea or lens. |
| C | Amblyopia is a problem of reduced visual acuity not correctable by refraction. |
| D | Myopic patients have the ability to see near objects more clearly than those at a distance; it is caused by the image focusing beyond the retina. |
DIF: Cognitive Level: Knowledge REF: Text Reference: pg 1024
OBJ: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance
| a. | at least 12 years of age. |
| b. | able to read all the written information and instructions. |
| c. | able to independently care for the lenses in a responsible manner. |
| d. | confident that she really wants contact lenses. |
ANS: C
| Feedback | |
| A | Chronological age is not the major determinant. A responsible 10-year-old child might be permitted to wear contact lenses. |
| B | The ability to read does not indicate understanding of the instructions. |
| C | The child must be able to care for the lenses independently. Serious eye damage can occur with irresponsible use of contact lenses. |
| D | Confidence and “wanting” do not equal responsibility. |
DIF: Cognitive Level: Knowledge REF: Text Reference: pg 1024
OBJ: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
| a. | It increases intraocular pressure. |
| b. | It alters the ability to distinguish between colors. |
| c. | It causes double vision. |
| d. | It prevents a clear image from forming on the retina. |
ANS: D
| Feedback | |
| A | Coughing, straining, or vomiting can increase intraocular pressure postoperatively. |
| B | Nystagmus and strabismus are clinical signs of a cataract. Color deficiency is not a sign. |
| C | A cataract usually does not cause double vision. |
| D | A cataract is an opacity of the lens or loss of transparency of the lens. |
DIF: Cognitive Level: Knowledge REF: Text Reference: pg 1027
OBJ: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
| a. | “I’ll have separate towels and washcloths for each family member.” |
| b. | “I’ll notify my doctor if the eye gets redder or the drainage increases.” |
| c. | “When the eye drainage improves, we’ll stop giving the antibiotic ointment.” |
| d. | “After taking the antibiotic for 24 hours, my child can return to school.” |
ANS: C
| Feedback | |
| A | Maintaining separate towels and washcloths will prevent the other family members from acquiring the infection. |
| B | If the infection proliferates, the physician should be contacted. |
| C | The antibiotic should be continued for the full prescription. |
| D | The child should be kept home from school or day care until he receives the antibiotic for 24 hours. |
DIF: Cognitive Level: Application REF: Text Reference: pg 1027
OBJ: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity
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