Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 55: The Child with a Sensory Alteration Verified 2024 Practice
... [Show More] Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ 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 [Show Less]