Following a serious bout of bacterial meningitis, the parents of ...

[lbcchick]

Following a serious bout of bacterial meningitis, the parents of a 14-month-old has noted the child is not responding to verbal commands.
 
  The nurse will explain the pathophysiologic principle behind this by educating the patients by which of the following statements?
  A)
  This could be caused by the same organism that caused the meningitis, infecting the child's tympanic membrane.
  B)
  This may be due to a loss of hair cells and damage to the auditory nerve.
  C)
  The ear and the lining of the brain that was infected are all connected together.
  D)
  It is common for meningitis to use up all the natural killer cells and therefore increase the risk of having brain tumors develop.

Question 2

If the anterior-posterior dimension of the eyeball is too long, the focus point for an infinitely distant target is anterior to the retina. This patient would be diagnosed as having
 
  A)
  hyperopia.
  B)
  myopia.
  C)
  cycloplegia.
  D)
  presbyopia.

[Cheesycrackers]

Answer to Question 1

Ans:
B

Feedback:

Deafness or some degree of hearing impairment is the most common serious complication of bacterial meningitis in infants and children. The mechanism causing hearing impairment seems to be suppurative labyrinthitis or neuritis resulting in the loss of hair cells and damage to the auditory nerve. There is no direct connection between the meninges of the brain and the tympanic membrane. Bacterial meningitis is not associated with an increased risk of developing a brain tumor.

Answer to Question 2

Ans:
B

Feedback:

If the anterior-posterior dimension of the eyeball is too long, the focus point for an infinitely distant target is anterior to the retina. This condition is called myopia or nearsightedness. People with myopia can see close objects without problems. Hyperopia is farsightedness. Cycloplegia is paralysis of the ciliary muscle, with loss of accommodation. Presbyopia refers to a decrease in accommodation that occurs because of aging.