A nurse in a pediatric clinic is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of a visual Impairment?
The infant reacts to bright light.
The infant's corneal light reflex is symmetrical.
The infant does not fixate and follow an object.
The infant's red reflex is present bilaterally.
The Correct Answer is C
A. The infant reacts to bright light. Reacting to bright light is a normal response and indicates that the infant can see. This does not indicate a visual impairment.
B. The infant's corneal light reflex is symmetrical. A symmetrical corneal light reflex indicates proper eye alignment and does not suggest a visual impairment.
C. The infant does not fixate and follow an object. By 6 months, an infant should be able to fixate on and follow an object. Failure to do so can be an indication of a visual impairment.
D. The infant's red reflex is present bilaterally. A normal red reflex in both eyes indicates that the eyes are clear and healthy. Absence of the red reflex could suggest a problem, but its presence does not indicate impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hematemesis (vomiting blood): Hematemesis (vomiting blood) is not typically associated with celiac disease. It is more commonly seen in conditions like gastrointestinal bleeding, ulcers, or esophageal varices.
B. Increased hemoglobin level: Celiac disease can lead to malabsorption of nutrients, including iron, which often results in anemia and decreased hemoglobin levels rather than increased hemoglobin levels.
C. Redcurrant, jelly-like stools: Redcurrant jelly-like stools are characteristic of intussusception, not celiac disease. Intussusception is a condition where part of the intestine folds into another section, leading to obstruction and characteristic stools.
D. Pale, oily stools: Pale, oily (steatorrhea) stools are a common finding in celiac disease. This is due to malabsorption of fats caused by damage to the small intestine's lining, leading to the excretion of undigested fats in the stool.
Correct Answer is B
Explanation
A. Apply plastic covering to the cast until dry. Covering the cast with plastic can cause moisture accumulation, which can delay drying and increase the risk of infection and skin irritation. The cast should be allowed to dry naturally and in a well-ventilated area.
B. Apply pieces of moleskin around the edges of the cast. Applying moleskin around the edges of the cast helps to protect the skin from irritation and potential injury from the rough edges of the cast. This is an appropriate intervention.
C. Use tips of fingers to reposition the cast until dry. Using the tips of fingers to handle the cast while it is drying can create indentations, leading to pressure points and potential skin breakdown. The cast should be handled with the palms of the hands to avoid indentations.
D. Maintain casted extremity below heart level. The casted extremity should be elevated above heart level, especially in the first 24-48 hours, to reduce swelling and promote venous return. Keeping it below heart level can increase swelling.
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