A nurse is caring for a preschooler who has strabismus. Which of the following should the nurse identify as a possible complication of this condition?
Amblyopia
Hypotropia
Otorrhea
Exotropia
The Correct Answer is A
A. Amblyopia – Correct. Strabismus can lead to amblyopia (lazy eye) if left untreated.
B. Hypotropia – Incorrect. Hypotropia is a type of strabismus, not a complication.
C. Otorrhea – Incorrect. Otorrhea (ear drainage) is unrelated to strabismus.
D. Exotropia – Incorrect. Exotropia is another form of strabismus rather than a complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Calculate the total volume to be infused: 150 mL/hr.
Convert hours to minutes: 1 hour = 60 minutes.
Calculate the flow rate in mL/min: 150 mL/hr / 60 min/hr = 2.5 mL/min.
Apply the drop factor: 2.5 mL/min * 20 gtt/mL = 50 gtt/min.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.
Rationale for incorrect options:
Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.
Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.
Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.
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