Chapter 55 The Child with a Sensory Alteration

Chapter 55  The Child with a Sensory Alteration

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. An adolescent goes to the primary care provider complaining of difficulty with vision. When

the nurse asks the adolescent to explain the visual deficits, the adolescent states, “I am having
difficulty seeing distant objects; they are less clear than things that are close.” What disorder
does the nurse suspect the adolescent has?
a. Hyphema
b. Astigmatism
c. Amblyopia
d. Myopia

ANS: 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. Hyphema includes hemorrhage in the
anterior chamber and is not a refractive disorder. Astigmatism is caused by an abnormal
curvature of the cornea or lens. Amblyopia is a problem of reduced visual acuity not
correctable by refraction.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1358 | Table 55.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

2. A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of

wearing glasses. The child states that the other children at school call her “four-eyes.” Contact
lenses should be prescribed for a child who is
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
The child must be able to care for the lenses independently. Serious eye damage can occur
with irresponsible use of contact lenses. Chronologic age is not the major determinant. A
responsible 10-year-old child might be permitted to wear contact lenses. The ability to read
does not indicate understanding of the instructions. Confidence and “wanting” do not equal
responsibility.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1358 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

3. Which statement best describes how a cataract affects a child’s vision?

a. It increases intraocular pressure.
b. It alters the ability to distinguish among colors.
c. It causes double vision.
d. It prevents a clear image from forming on the retina.

TestBankWorld.org

ANS: D
A cataract is an opacity of the lens or loss of transparency of the lens. Coughing, straining, or
vomiting can increase intraocular pressure postoperatively. Nystagmus and strabismus are
clinical signs of a cataract. Color deficiency is not a sign. A cataract usually does not cause
double vision.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1361 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

4. Which statement by a parent about conjunctivitis indicates that further teaching is needed?

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
The antibiotic should be continued for the full prescription. Maintaining separate towels and
washcloths will prevent the other family members from acquiring the infection. If the
infection proliferates, the physician should be contacted. The child should be kept home from
school or day care until the child receives the antibiotic for 24 hours.

PTS: 1 DIF: Cognitive Level: Evaluation/Evaluating
REF: p. 1363 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Physiologic Integrity

5. Which teaching guideline helps prevent eye injuries during sports and play activities?

a. Restrict helmet use to those who wear eye glasses or contact lenses.
b. Discourage the use of goggles with helmets so the child can see better.
c. Wear eye protection when participating in high-risk sports such as paintball.
d. Wear a face mask when playing any sport or playing roughly.

ANS: C
High-risk sports such as paintball can cause penetrating eye injuries. Eye protection should be
worn. All children who play games should be protected by the appropriate headgear. Goggles
and helmets can and should be used concurrently. A face mask does not prevent damage to the
child’s head.

PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: pp. 1364-1365 | Parents Want to Know Box
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance