The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?
Place the patch on the right eye for several hours daily
Place the patch on the left eye for several hours daily
Place the patch on the right eye for one hour daily
Alternate the patch from the right to the left eye hourly
The Correct Answer is B
A. Place the patch on the right eye for several hours daily would not be effective for treating amblyopia. The goal of patching is to encourage the use of the weaker (lazy) eye, so the good eye (left) must be patched.
B. Place the patch on the left eye for several hours daily is the correct approach to treat amblyopia, as it forces the right (weaker) eye to work and improve visual acuity.
C. Place the patch on the right eye for one hour daily would not effectively treat the amblyopia in the left eye, as it focuses on the wrong eye.
D. Alternate the patch from the right to the left eye hourly is not typically done. Consistent patching of the stronger (left) eye is recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Croup is a viral infection that typically presents with a barking cough and stridor, rather than difficulty swallowing and excessive drooling.
B. Epiglottitis is a life-threatening condition characterized by sudden onset of fever, drooling, difficulty swallowing, and difficulty speaking (dysphonia). It is a medical emergency and often caused by Haemophilus influenzae type B.
C. Bronchiolitis is usually caused by respiratory syncytial virus (RSV) and presents with wheezing, cough, and respiratory distress but not typically with drooling or difficulty swallowing.
D. Laryngotracheobronchitis (another name for croup) also presents with a barking cough and stridor but does not cause difficulty swallowing or drooling.
Correct Answer is A
Explanation
A. Kawasaki disease can lead to coronary artery aneurysms, which can increase the risk of myocardial infarction (MI) due to impaired blood flow.
B. Pulmonary congestion is not typically a complication of Kawasaki disease, as it primarily affects the cardiovascular system.
C. Roth spots are retinal findings associated with endocarditis, not Kawasaki disease.
D. While arthralgia (joint pain) is a symptom, it is not the most concerning complication in Kawasaki disease. The priority concern is cardiovascular complications.
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