A nurse is reinforcing teaching with the parent of a preschooler who has amblyopia.
Which of the following instructions should the nurse include in the teaching?
Instill two drops of antibiotic eye solution into both eyes for 14 days.
Irrigate both eyes with sterile water twice daily.
Patch the unaffected eye during the day.
Apply a warm pack to the affected eye three to four times per day.
The Correct Answer is C
Rationale:
A) Instilling antibiotic eye solution is not a treatment for amblyopia unless there is an associated infection.
B) Irrigating both eyes with sterile water is not a treatment for amblyopia.
C) Patching the unaffected eye helps encourage the use and strengthening of the affected eye, a common treatment approach for amblyopia.
D) Applying a warm pack to the affected eye is not a treatment for amblyopia and may not be safe for the eyes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A) Using an automated lancet device provides a controlled and consistent depth of puncture for the heel stick, minimizing discomfort and risk of injury.
B) Applying limb restraints is unnecessary and could cause distress to the infant.
C) Puncturing the heel at the inner aspect may not be the appropriate site for the heel stick.
D) Cleansing the area with povidone iodine is not necessary for a routine heel stick procedure.
Correct Answer is D
Explanation
Rationale:
A) An axillary temperature of 37.4°C (99.3°F) is within the normal range for an infant.
B) An apical pulse of 155/min is within the normal range for a 1-month-old infant.
C) A respiratory rate of 40/min is within the normal range for an infant.
D) A blood pressure of 64/40 mm Hg is abnormally low blood pressure for an infant and could indicate shock, dehydration, or infection. The nurse should report this finding to the provider immediately and monitor the infant's vital signs closely.
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