Often blindness occurs during childhood. Which health ...

[tiffannnnyyyyyy]

Often blindness occurs during childhood. Which health preventative measure is most appropriate to prevent vision impairment?
 
  a. Screen young children early for visual impairments.
  b. Instruct parents to report reduced eye contact from their child immediately.
  c. Include rubella and syphilis screening in the preconception care plan.
  d. Administer prophylactic antibiotics to all newborns.

Question 2

The nurse is caring for a patient in acute respiratory distress. The patient has multiple monitoring systems on that constantly beep and make noise. The patient is becoming agitated and frustrated over inability to sleep.
 
  Which action by the nurse is most appropriate for this patient?
  a. Provide the patient with a therapeutic back rub.
  b. Turn off the alarms on the monitoring devices.
  c. Administer an opioid medication to help the patient sleep.
  d. Provide the patient with earplugs.

[tuwy]

Answer to Question 1

ANS: C
Actions to prevent blindness must occur before vision impairment takes place. Screening for diseases that affect development of vision in the fetus is a preventative measure. Vision testing after birth is important to begin steps to correct or identify the problem early on so the child can develop as normally as possible. Prophylactic antibiotics are not appropriate for all newborns. Reporting reduced eye contact is recommended but is not a preventative measure.

Answer to Question 2

ANS: D
Giving the patient control over stimuli helps to decrease the frustration that results from sensory overload. Adding additional stimuli such as a back rub can increase sensory overload. Turning off monitors and alarms is unsafe; the nurse needs to be aware of critical situations. Opioid medications should not be the first option; however, antianxiety medications and sleep aids may be considered.