Inquire through: | Professional | Confidential Support
CHAPTER 17:Nursing Care of the Child With
an Alteraion in Sensory Perception/Disorder
of the Eyes or Ears Verified and Updated
Questions and Answers (100% Correct
Answers)
29. After teaching a group of students about visual disorders, the instructor
determines that the teaching was successful when the students identify which of the
following as the most common cause of visual difficulties in children?
A) Astigmatism
B) Strabismus
C) Refractive errors
D) Nystagmus
Answer: C) Refractive errors
The most common cause of visual difficulties in children is refractive errors.
Astigmatism, strabismus, and nystagmus are other common visual disorders in
children but are less common than refractive errors.
1. 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?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward thrust
Answer: A) Immature emotional behavior
Immature emotional behavior would be seen most frequently. The inability to hear
impacts the socialization process and causes social problems for the child because
the hearing impairment has inhibited normal development. Self-stimulatory actions,
, Inquire through: | Professional | Confidential Support
inattention, vacant stare, head tilt, or forward thrust may also cause problems with
socialization, but they are typical of visually impaired children.
2. The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an ophthalmologist
Answer: B) Teaching the parents how to gently massage the duct
Massaging the nasolacrimal duct can cause it to open and drain. Teaching the parents
how to do this would be part of the nurse's plan of care. Nasolacrimal duct
obstruction is not infectious. Applying hot, moist compresses to the eye is an
intervention for conjunctivitis. Nasolacrimal duct obstruction is often self-resolving,
so there would be no need for a specialist's care.
3. The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would
be alert to the child's increased risk for which of the following?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore throats
Answer: A) Atopic dermatitis
Atopic dermatitis is a risk factor specifically for allergic conjunctivitis because of
repeated exposure to the particular allergens. Acute otitis media, insect bite
sensitivity, and frequent sore throats can occur but are not related to the allergic
conjunctivitis.
4. 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?
CHAPTER 17:Nursing Care of the Child With
an Alteraion in Sensory Perception/Disorder
of the Eyes or Ears Verified and Updated
Questions and Answers (100% Correct
Answers)
29. After teaching a group of students about visual disorders, the instructor
determines that the teaching was successful when the students identify which of the
following as the most common cause of visual difficulties in children?
A) Astigmatism
B) Strabismus
C) Refractive errors
D) Nystagmus
Answer: C) Refractive errors
The most common cause of visual difficulties in children is refractive errors.
Astigmatism, strabismus, and nystagmus are other common visual disorders in
children but are less common than refractive errors.
1. 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?
A) Immature emotional behavior
B) Self-stimulatory actions
C) Inattention and vacant stare
D) Head tilt or forward thrust
Answer: A) Immature emotional behavior
Immature emotional behavior would be seen most frequently. The inability to hear
impacts the socialization process and causes social problems for the child because
the hearing impairment has inhibited normal development. Self-stimulatory actions,
, Inquire through: | Professional | Confidential Support
inattention, vacant stare, head tilt, or forward thrust may also cause problems with
socialization, but they are typical of visually impaired children.
2. The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which
intervention would be most appropriate for the nurse to implement?
A) Being careful to prevent spread of infection
B) Teaching the parents how to gently massage the duct
C) Applying hot, moist compresses to the affected eye
D) Referring the child to an ophthalmologist
Answer: B) Teaching the parents how to gently massage the duct
Massaging the nasolacrimal duct can cause it to open and drain. Teaching the parents
how to do this would be part of the nurse's plan of care. Nasolacrimal duct
obstruction is not infectious. Applying hot, moist compresses to the eye is an
intervention for conjunctivitis. Nasolacrimal duct obstruction is often self-resolving,
so there would be no need for a specialist's care.
3. The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would
be alert to the child's increased risk for which of the following?
A) Atopic dermatitis
B) Insect bite sensitivity
C) Acute otitis media
D) Frequent sore throats
Answer: A) Atopic dermatitis
Atopic dermatitis is a risk factor specifically for allergic conjunctivitis because of
repeated exposure to the particular allergens. Acute otitis media, insect bite
sensitivity, and frequent sore throats can occur but are not related to the allergic
conjunctivitis.
4. 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?
