Author Question: The nurse is performing a vision screening for 4-year-old child. Which of the following screening ... (Read 111 times)

ahriuashd · **on:** Jun 27, 2018

The nurse is performing a vision screening for 4-year-old child. Which of the following screening charts would be best for determining the child's visual acuity?

A) Snellen
B) Ishihara
C) Allen figures
D) Color Vision Testing Made Easy (CVTME)

Question 2

A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen with her; it must remain in the school's office as per school regulations.

How should the nurse respond? A) She is allowed by law to carry her EpiPen with her; I will talk to school authorities.
B) Let's file an action plan and keep it in the school office in the event of anaphylaxis.
C) Make sure she wears a medical alert bracelet so that school staff know she has allergies.
D) I will be happy to train school authorities and staff to recognize anaphylaxis.

yasmina · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Response:
The Allen figures chart is reliable for assessing the visual acuity of a preschool child. The Snellen chart requires that the child has a good knowledge of the alphabet; this is not a realistic expectation for a 4-year-old child. The Ishihara and Color Vision Testing Made Easy (CVTME) charts are designed to assess color vision discrimination, not visual acuity.

Answer to Question 2

A
Response:
Public Law No. 108-377, Asthmatic Schoolchildren's Treatment and Health Management Act of 2004, was passed by the U.S. Congress. This law is intended to ensure that students with severe allergies can carry prescribed medications such as an EpiPen with them at all times. The nurse must contact the school and inform them of this law so that the girl will be allowed to carry her EpiPen at all times. The school staff should be trained to recognize anaphylaxis, there should be an action plan on file, and the girl should wear a medical alert bracelet as well. However, the most important action is to notify school authorities of the law.