Nokea
What assessment made by the school nurse would lead to the suspicion of strabismus?
- A. Reddened sclera in one eye
- B. Child covers one eye to read the chalkboard
- C. Child complains of a headache
- D. Copious tears while watching TV
Correct Answer: B
Rationale: Indicators of strabismus include covering one eye to see, tilting the head to see, and missing objects in attempts to pick them up.
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What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?
- A. I will continue using the medication until symptoms are relieved.'
- B. I will share the medicine with siblings if their symptoms are the same.'
- C. I will give the medication with a glass of milk.'
- D. I will administer prescribed doses until all the medication is used.'
Correct Answer: D
Rationale: Antibiotic therapy for otitis media is continued until the prescribed amount has been completed, even if symptoms are alleviated.
What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes?
- A. Keeping the infant flat after feeding
- B. Giving over-the-counter decongestants
- C. Avoiding getting water in the ears
- D. Cleaning the ear canal with cotton-tipped applicators
Correct Answer: C
Rationale: After a tympanostomy, care should be taken to avoid getting water in the ears.
Which aspect(s) of a child's development does the nurse caution parents that hearing impairment can affect? (Select all that apply.)
- A. Speech clarity
- B. Language development
- C. Immunity to disease
- D. Personality development
- E. Academic achievement
Correct Answer: A,B,D,E
Rationale: All the options, except immunity to disease, are areas in which a hearing impairment could interfere with normal development.
What would the nurse include in teaching when preparing to teach parents about air travel instructions to prevent barotrauma in infants?
- A. Using ear plugs during takeoff
- B. Omitting the meal just before takeoff
- C. Letting the infant nurse during descent
- D. Applying ear drops before takeoff
Correct Answer: C
Rationale: Encouraging an infant to swallow reduces the pressure in the ears during descent.
What does the nurse explain to parents of a child with febrile seizures?
- A. They occur when the body temperature exceeds 38.3?°C (101?°F).
- B. They can be prevented by anticonvulsant medication.
- C. They usually lead to the development of epilepsy.
- D. They occur when the temperature rises quickly.
Correct Answer: D
Rationale: Febrile seizures occur in response to a rapid rise in temperature, often above 38.8?°C (102?°F).