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.
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Related Questions
Correct Answer is C
Explanation
A. Trauma to the head or neck area causing a concussion. – Incorrect. Febrile seizures are not caused by trauma.
B. Structural brain lobe defect since birth. – Incorrect. Febrile seizures are not related to congenital brain defects.
C. Sudden rise in body temperature due to inflammation or infection. – Correct. Febrile seizures occur when a child’s temperature rises rapidly, often due to a viral or bacterial infection.
D. Pooling of blood in a cerebral space. – Incorrect. This refers to intracranial hemorrhage, not febrile seizures.
Correct Answer is C
Explanation
A. Glasgow Coma Scale (GCS) assessment. – Incorrect. The GCS assesses neurological function but does not diagnose the underlying cause of symptoms.
B. RBC count. – Incorrect. A complete blood count (CBC) may be helpful, but it does not confirm meningitis.
C. Cerebrospinal fluid (CSF) analysis. – Correct. A lumbar puncture for CSF analysis is the gold standard for diagnosing bacterial or viral meningitis.
D. Magnetic resonance imaging (MRI). – Incorrect. An MRI may be used for complications but is not the initial diagnostic test for suspected meningitis
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