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

Answer and Explanation

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.

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Correct Answer is ["A","D","E","F"]

Explanation

A. Right ventricular hypertrophy is part of the pathophysiology of TOF, resulting from the increased workload on the right ventricle due to pulmonary stenosis.

B. Left ventricular hypertrophy is not part of TOF; the condition primarily affects the right ventricle.

C. Patent ductus arteriosus (PDA) is not a characteristic of TOF, although it may be present in some cases, it's not part of the primary defects.

D. Ventricular septal defect (VSD) is a primary defect in TOF, which allows blood to mix between the left and right ventricles.

E. Pulmonary stenosis (PS) is a key feature of TOF, causing right-sided obstruction.

F. Overriding aorta occurs when the aorta is positioned directly over the VSD, receiving blood from both the right and left ventricles.

Correct Answer is []

Explanation

Potential Condition: Viral Pneumonia

High fever (39.88°C/103.8°F), severe fatigue, chills, productive cough, and dyspnea suggest a respiratory infection. Bilateral lung consolidation on x-ray is consistent with viral pneumonia. Negative bacterial culture supports a viral rather than bacterial etiology. Elevated WBC count (12,300/mm³) is slightly above normal, which can occur with viral infections. Crackles in upper lobes, diminished breath sounds in lower lobes are common findings in pneumonia.

Actions to Take (Correct Choices)

Cluster client care to allow for rest: Viral pneumonia leads to fatigue and respiratory distress. Minimizing exertion conserves energy and improves recovery.

Administer prescribed antipyretic: Reduces fever, improves comfort, and helps decrease metabolic demand on the body.

Incorrect Actions and Rationale:

Replace pancreatic enzymes – This is necessary for cystic fibrosis, not viral pneumonia.

Maintain airborne precautions – Airborne precautions are required for tuberculosis (TB), not viral pneumonia. Pneumonia typically requires droplet precautions only if caused by a pathogen like influenza.

Obtain a peak respiratory flow rate – More relevant for asthma, not pneumonia.

Parameters to Monitor (Correct Choices)

Level of fatigue: Fatigue indicates worsening illness or improvement. Increasing exhaustion may suggest hypoxia or worsening pneumonia.

Oxygen saturation levels: 92% on room air is borderline low, requiring monitoring for worsening hypoxemia. Oxygen therapy may be needed if saturation drops further.

Incorrect Parameters:

Allergen triggers – Relevant for asthma, not viral pneumonia.

Diet high in protein and calcium – Important for cystic fibrosis, but not a primary concern for pneumonia management.

Blood glucose levels – More relevant for diabetes or steroid therapy, not viral pneumonia.

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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?

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Naxlex Comprehensive Predictor Exams

Tetralogy of Fallot (TOF) involves which defects? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

Correct Answer is []

Explanation

The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

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?

The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.