The nurse inspects a child's red reflex with an ophthalmoscope ...

[leilurhhh]

The nurse inspects a child's red reflex with an ophthalmoscope and finds black spots or opacities within the red reflex. The nurse knows these findings:
 
  a. are normal in 95 of children
  b. indicate congenital permanent blindness
  c. suggest the child has experienced trauma
  d. are abnormal and may indicate a cataract

Question 2

The nurse is going over discharge instructions with the caregivers of a child who has osteomyelitis and is going home on oral medications. Which of the following discharge instructions is the most important for the nurse to give the caregivers?
 
  a. how to assess for hearing loss c. the importance of a tutor
  b. entertainment ideas d. restriction of visitors

[CourtneyCNorton]

Answer to Question 1

D

Feedback
A Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings are abnormal.
B Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings do not indicate congenital permanent blindness.
C Incorrect. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings do not suggest the child has experienced trauma.
D Correct. Inspecting a child's red reflex with an ophthalmoscope and finding black spots or opacities, the nurse knows these findings are abnormal and may indicate a cataract.

Answer to Question 2

A

Feedback
A Correct. Since many of the antibiotics used in treating osteomyelitis have adverse audiologic side effects, caregivers need to be taught how to assess for hearing loss and to report this to the health care provider.
B Incorrect. If the child's mobility is still limited, entertainment ideas may be discussed with the caregivers, but they are not the most important instruction.
C Incorrect. The importance of a tutor may be appropriate to discus with the caregivers, especially if the child has been absent from school for a long period of time. However, it is not the most important discharge instruction.
D Incorrect. Restriction of visitors is not necessary since osteomyelitis is not a contagious disorder, and the infection has subsided by the time of discharge.

[leilurhhh]

Excellent

[ebonylittles]

TYSM