Deck 47: The Child With Alterations in Eye, Ear, Nose, and Throat Function

Question 1

The nurse has taught a group of parents how to care for their children who have had tympanostomy tubes inserted.The nurse will know parents understand how to care for their child's tympanostomy tubes if they: (Select all that apply. )

A)Encourage the child to drink generous amounts of fluids.
B)Administer a decongestant for 1-2 weeks following surgery.
C)Restrict the child to quiet activities after surgery.
D)Limit the child's diet to soft,bland foods.
E)Avoid getting excessive water in the ears during bath time.

Answer 1

Encourage the child to drink generous amounts of fluids.
Restrict the child to quiet activities after surgery.
Avoid getting excessive water in the ears during bath time.

Question 2

A school child has an epistaxis.The school nurse appropriately intervenes by:

A)Tilting the child's head forward,squeezing the nares below the nasal bone,and applying ice to the nose.
B)Tilting the child's head back,squeezing the bridge of the nose,and applying a warm,moist pack to the nose.
C)Lying the child down and applying no pressure or ice or warm pack.
D)Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.

Answer 2

Tilting the child's head forward,squeezing the nares below the nasal bone,and applying ice to the nose.

Question 3

A nurse is caring for a visually impaired 10-year-old child.The nursing intervention with the highest priority for this child during the admission process would be:

A)Explaining playroom policies.
B)Orienting the child to where furniture is placed in the room.
C)Letting the child touch equipment that will be used during the hospitalization.
D)Taking the child on a tour of the unit.

Answer 3

Orienting the child to where furniture is placed in the room.

Question 4

A nurse is assessing infants for visually related developmental milestones.The infant who is showing a delay in meeting an expected milestone is the:

A)4-month-old who has a social smile.
B)8-month-old who has just begun to inspect her own hand.
C)12-month-old who stacks blocks.
D)7-month-old who picks up a raisin by raking.

Question 5

The nurse has completed postop discharge teaching to the parents of a child who has had a tonsillectomy.The nurse will know the parents understand the teaching if they state:

A)"We'll call the physician for any indication of ear pain."
B)"We'll plan on administering acetaminophen (Tylenol)for pain."
C)"We'll be sure to give our child adequate amounts of citrus juices."
D)"We'll keep our child on bedrest for 10 days after the surgery."

Question 6

An infant has acute otitis media.The nurse will teach the parents to:

A)Keep the baby in a flat-lying position during sleep.
B)Administer acetaminophen (Tylenol)to relieve discomfort.
C)Administer a decongestant.
D)Put the baby to sleep with a pacifier.

Question 7

During an admission assessment,the nurse notes that the child has impaired oral mucous membranes.A nursing intervention aimed at resolving the problem would be:

A)Administering topical analgesics.
B)Promoting an adequate intake of nutrients.
C)Administering antibiotics as ordered.
D)Using lemon and glycerin for oral hygiene.

Question 8

A parent asks the nurse why her children get fewer ear infections as they grow older.The nurse's answer would be based on knowledge that,as compared with older children and adults,the infant's eustachian tube is proportionately:

A)Shorter,wider,and more horizontal.
B)Shorter,narrower,and more horizontal.
C)Shorter,narrower,and more diagonal.
D)Shorter,wider,and more diagonal.

Question 9

A child has been diagnosed with group A beta-hemolytic streptococcus (GABHS)infection of the throat.The nurse should teach the parents to:

A)Complete the entire course of antibiotics.
B)Keep the child NPO.
C)Continue normal activities.
D)Not allow the child to gargle with salt water.

Question 10

The nurse can assist a child who has a mild hearing loss and reads lips to adapt to hospitalization by:

A)Dimming the lights in the hospital room.
B)Speaking in a loud voice.
C)Using long sentences.
D)Touching the child lightly before speaking.

Question 11

A nurse is caring for a visually impaired 20-month-old who has not begun to walk.An appropriate nursing diagnosis for this child would be:

A)Delayed growth and development.
B)Impaired physical mobility.
C)Self-care deficit.
D)Impaired home maintenance.

Question 12

The nurse is caring for four clients.The client with the highest risk of developing retinopathy of prematurity is the:

A)30-weeks'-gestation infant who was in an Oxy-Hood for 12 hours and weighed 1800 g.
B)32-weeks'-gestation infant who needed no oxygen and weighed 1850 g.
C)28-weeks'-gestation infant who has been on long-term oxygen and weighed 1400 g.
D)28-weeks'-gestation infant who was on short-term oxygen and weighed 1420 g.

Question 13

The child has had a tonsillectomy earlier today,and now is awake and tolerating fluids.The child asks for something to eat.The most appropriate food would be:

A)Orange slices.
B)Lemonade.
C)Grapefruit juice.
D)Applesauce.

Question 14

A neonate has been diagnosed with a herpes simplex viral infection of the eye.The nurse will prepare to administer:

A)Fluoroquinolone eyedrops or ointment.
B)Topical antihistamines.
C)Oral erythromycin.
D)Parenteral acyclovir and vidarabine ophthalmic ointment.

Question 15

A nurse who is planning to teach school-age children about the "common cold" should include the information that:

A)Vaccinations can prevent contraction of a nasopharyngitis virus.
B)Antibiotics will eliminate the nasopharyngitis virus.
C)Proper handwashing can prevent the spread of the infection.
D)Aspirin should be taken for alleviation of fever if the "common cold" is contracted.