Deck 24: Alterations in Eye, Ear, Nose, and Throat Function

Question 1

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

A)Lying the child down and applying a warm pack.
B)Tilting the child's head back, squeezing the bridge of the nose, and applying a warm moist pack to the nose.
C)Tilting the child's head forward, squeezing the nares below the nasal bone, and applying ice to the nose.
D)Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.

Answer 1

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

Question 2

The school nurse is screening all second graders for tonsillitis and pharyngitis. Which finding is a normal finding in this age group?

A)Tonsils are large and seem to fill the throat.
B)Child is complaining of sore throat and drooling
C)White patches are observed on the tonsils.
D)Throat appears red, and child has a low-grade fever

Answer 2

Tonsils are large and seem to fill the throat.

Question 3

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

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

Answer 3

Proper hand washing can prevent the spread of the common cold.

Question 4

Following a facial injury of a 12-year-old youth during a baseball game, a nurse speaks with the league administrators about first aid for teeth that may be lost. The nurse will instruct the administration that appropriate first aid will include: Standard Text: Select all that apply.

A)Not worrying about the tooth loss, as children this age still have their "baby" teeth.
B)Only handling the lost tooth by the roots and avoiding touching the crown of the tooth.
C)Rinsing the lost tooth with sterile saline.
D)Placing the tooth back into its socket and taking the child to an emergency dental facility.
E)Keeping the tooth clean and dry during transport to an emergency dental facility.

Question 5

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

A)Touching the child lightly before speaking.
B)Using a picture board as the main means of communication.
C)Speaking in a loud voice while facing the child.
D)Speaking directly to the parents for communication.

Question 6

A three-year-old child has been found to have a mild to moderate hearing loss. The mother tells the nurse: "The doctor told me I should put my child in day care but didn't tell me why. Do you know why the doctor recommends day care?" The nurse's response will be based on the knowledge that day care will:

A)Help the child recognize his hearing deficit.
B)Increase the child's socialization skills.
C)Improve the child's immunity by increased exposure to organisms.
D)Teach other children that children are different.

Question 7

While screening children, the nurse notes that one child seems to have "crossed eyes." Which screening tool might the nurse utilize to further screen this child?

A)Examine the eye with an otoscope.
B)Check for the "red reflex" in the eyes.
C)Perform the cover-uncover test.
D)Use a tonometer to evaluate the eyes.

Question 8

The nurse has completed postoperative discharge teaching to the parents of a child who has had a tonsillectomy. Which statement indicates the parents have understood the teaching?

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

Question 9

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

A)Oral erythromycin
B)Fluoroquinolone eyedrops or ointment
C)Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic ointment
D)Intravenous penicillin

Question 10

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)Taking the child on a tour of the unit.
D)Letting the child touch equipment that will be used during the hospitalization.

Question 11

The nurse is caring for a young child with otitis media. The parent asks the nurse why children seem to get otitis media frequently but adults do not. The nurse would explain that younger children get otitis media more often because:

A)The eustachian tube is shorter, wider, and horizontal in younger children.
B)The eustachian tube is shorter, more narrow, and horizontal in younger children.
C)The eustachian tube is longer, wider, and vertical in younger children.
D)The eustachian tube is longer, more narrow, and vertical in younger children.

Question 12

The nurse is caring for four clients in the neonatal intensive care unit. Which infant has the greatest risk of developing retinopathy of prematurity (ROP)?

A)28-weeks'-gestation infant who has been on long-term oxygen and weighed 1,400 grams
B)32-weeks'-gestation infant of African heritage with a congenital heart defect who needed no oxygen and weighed 1,850 grams
C)28-weeks'-gestation female infant who was on short-term oxygen, weighed 1,420 grams, and was treated with phototherapy
D)36-weeks'-gestation, small-for-gestational-age infant who was in an oxyhood for 12 hours and weighed 1,800 grams

Question 13

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

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

Question 14

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

A)Limit their diets to soft, bland foods.
B)Restrict the children to quiet activities after surgery.
C)Administer a decongestant for one to two weeks following surgery.
D)Encourage the children to drink generous amounts of fluids.
E)Avoid getting water in their ears during bath time.

Question 15

An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents?

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

Question 16

The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:

A)Ringing in the ears.
B)Pharyngitis.
C)Hearing loss.
D)Bacterial meningitis.

Question 17

A 10-month-old infant has had numerous ear infections since birth. The nurse will discuss with the parents ways that might reduce the incidence of otitis media and will include which strategies? Standard Text: Select all that apply.

A)Prohibiting tobacco smoke in the home
B)Avoiding use of a pacifier while the child is sleeping
C)Breastfeeding the infant
D)Cleaning the child's ears nightly with peroxide
E)Avoiding use of wood-burning stoves

Question 18

The nurse is taking care of a child who had a tonsillectomy. During the postoperative period, the nurse should observe the child for which clinical manifestation?

A)Arrhythmias
B)Dehydration
C)Increased blood sugar
D)Increased urinary output