Which is a priority nursing assessment the nurse includes in the ...

[kellyjaisingh]

Which is a priority nursing assessment the nurse includes in the plan of care for a pediatric client who has received a cochlear implant?
 
  1. Ringing in the ears
  2. Pharyngitis
  3. Hearing loss
  4. Bacterial meningitis

Question 2

Which screening tool should the nurse use to screen a pediatric client for esotropia?
 
  1. Examine the eye with an otoscope.
  2. Check for the red reflex in the eyes.
  3. Perform the coveruncover test.
  4. Use a tonometer to evaluate the eyes.

[isabelt_18]

Answer to Question 1

4
Explanation:
1. This is not a common complication of a cochlear implant.
2. Pharyngitis is not associated with cochlear implants.
3. The child already has hearing loss. That is why the child receives a cochlear implant.
4. There is an increased risk of bacterial meningitis following insertion of a cochlear implant.

Answer to Question 2

3
Explanation:
1. An otoscope is used to examine the ear, not the eye.
2. The red reflex visualizes the retina and is used to identify infants with cataracts.
3. When one eye is covered while the child is looking at an object, the uncovered eye will deviate from the location; this tool is used to detect strabismus.
4. The tonometer measures intraocular pressure and is used to evaluate glaucoma.