Author Question: An adolescent male visits his primary care provider complaining of difficulty with his vision. ... (Read 42 times)

evelyn o bentley · **on:** Jun 28, 2018

An adolescent male visits his primary care provider complaining of difficulty with his vision.

When the nurse asks the adolescent to explain what visual deficits he is experiencing, the adolescent states, I am having difficulty seeing distant objects; they are less clear than things that are close. What disorder does the nurse suspect the adolescent has?
a. Hyphema c. Amblyopia
b. Astigmatism d. Myopia

Question 2

A 10-year-old patient is talking to the nurse about wanting to try contact lenses instead of wearing glasses. She states that the other children at her school call her four-eyes. Contact lenses should be prescribed for a child who is:

a. At least 12 years of age.
b. Able to read all the written information and instructions.
c. Able to independently care for the lenses in a responsible manner.
d. Confident that she really wants contact lenses.

momo1250 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Myopic patients have the ability to see near objects more clearly than those at a distance; it is caused by the image focusing beyond the retina. Hyphema includes hemorrhage in the anterior chamber and is not a refractive disorder. Astigmatism is caused by an abnormal curvature of the cornea or lens. Amblyopia is a problem of reduced visual acuity not correctable by refraction.

Answer to Question 2

ANS: C
The child must be able to care for the lenses independently. Serious eye damage can occur with irresponsible use of contact lenses. Chronologic age is not the major determinant. A responsible 10-year-old child might be permitted to wear contact lenses. The ability to read does not indicate understanding of the instructions. Confidence and wanting do not equal responsibility.