A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Assess both eyes together first, then each eye separately.
Position the child 4.6 meters (15 feet) from the chart.
Test the child without glasses before testing with glasses.
Use a tumbling E chart for the assessment.
The Correct Answer is D
A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Administering amphotericin B IV is not indicated for impetigo contagiosa, which is typically treated with topical antibiotics.
B. Applying lidocaine ointment topically is not indicated for impetigo contagiosa and would not address the infection.
C. Initiating contact isolation precautions is appropriate for impetigo contagiosa to prevent the spread of the infection to other patients and healthcare workers.
D. Reporting the disease to the state health department may be necessary for certain communicable diseases but is not the immediate action required in this scenario.
Correct Answer is A
Explanation
A. This is the first step to control bleeding and prevent further blood loss.
B. Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C. Vital signs can wait momentarily until the bleeding is under control.
D. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
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