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","C","D","E","F"]

Explanation

A. Household smoking increases the risk of otitis media by irritating the respiratory tract and impairing immune function.

B. A history of urinary tract infections is not a risk factor for otitis media.

C. Exposure to illness in daycare centers or schools increases the likelihood of respiratory infections, which can lead to otitis media.

D. Native American ethnicity has a higher incidence of otitis media, likely due to genetic and environmental factors.

E. Absence of breastfeeding increases the risk of otitis media because breastfeeding provides immune protection.

F. Craniofacial anomalies (e.g., cleft palate) increase the risk of otitis media due to poor Eustachian tube function and chronic ear infections.

A. Itching and tenderness when manipulating the affected ear lobe B. Fullness in the ear and a clogged sensation without other systemic findings C. Edema and erythema of the external canal only D. Pulling on the affected ear, acute onset of fever and otalgia

Correct Answer is D

Explanation

A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.

B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.

C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.

D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.

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

Explanation

A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

Correct Answer is D

Explanation

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