Author Question: A child's chart indicates he has leukocoria and a hyphema in the right eye. Which teaching does the ... (Read 22 times)

mpobi80 · **on:** Jun 28, 2018

A child's chart indicates he has leukocoria and a hyphema in the right eye. Which teaching does the nurse implement for the child and parents?

A.
Application of antibiotic ointment and eye patch
B.
Possibility of other children having this genetic disorder
C.
Surgery, possible enucleation, possible chemotherapy
D.
Wearing appropriate eye protection during sports

Question 2

A child has been examined by a pediatric ophthalmologist, and findings indicate a dulled red reflex and cloudy lens. Which treatment plan does the nurse educate the parents on based on these findings?

A.
Occlusion therapy to the affected eye for 6 months
B.
Periodic administration of IV mannitol (Osmotrol)
C.
Surgery to remove the cataract and placement of a lens
D.
Use of eyedrops for the rest of the child's life

SeanoH09 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Leukocoria (cat's eye reflex) and hyphema (blood in the anterior chamber of the eye) are manifestations of retinoblastoma, a rare and aggressive tumor of the retina. Treatment is vigorous and may include surgery (including enucleation), radiation, chemotherapy, laser, or cryotherapy.

Answer to Question 2

ANS: C
These manifestations are characteristic of cataracts, which can be congenital or acquired. Typical treatment includes surgical removal of the cataract and lens implant. The other options are not part of the treatment for cataracts.