When screening a 5-year-old for strabismus, which action should the nurse take?
Observe the child for blank, sunken eyes.
Inspect the child for the setting-sun sign.
Have the child identify colored patterns on polychromatic cards.
Direct the child through the six cardinal positions of gaze.
The Correct Answer is D
A. Observe the child for blank, sunken eyes. Blank, sunken eyes are not associated with strabismus. These could be signs of other conditions, such as dehydration or severe malnutrition, but they are not relevant for assessing strabismus.
B. Inspect the child for the setting-sun sign. The setting-sun sign is more commonly associated with increased intracranial pressure in infants and is not a relevant observation for detecting strabismus in a 5-year-old child.
C. Have the child identify colored patterns on polychromatic cards. Identifying colored patterns on polychromatic cards is a test for color vision, not for strabismus. Strabismus involves misalignment of the eyes rather than a problem with color perception.
D. Direct the child through the six cardinal positions of gaze. The six cardinal positions of gaze test the alignment and movement of the eyes. The nurse asks the child to follow an object with their eyes as it is moved through these six positions. Any inability of the eyes to maintain proper alignment or any deviation from the expected movement can indicate strabismus. This is an effective and commonly used method to screen for strabismus in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Calcium acetate is not a standard medication that needs to be given with every meal for children with cystic fibrosis.
B.An albuterol inhaler is used for managing respiratory symptoms, such as bronchoconstriction and wheezing. It's not typically administered with every meal.
C.Pancreatic enzymes are the appropriate medication. Children with cystic fibrosis often have pancreatic insufficiency, which means their pancreas doesn't produce enough enzymes needed for proper digestion. Pancreatic enzyme replacement therapy is essential for these children to help them digest and absorb nutrients from their food. These enzymes should be administered with every meal to ensure effective digestion.
D.Empiric antibiotics are prescribed based on clinical indications and infection status. They are not routinely given with every meal.
Correct Answer is B
No explanation
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