An adolescent male visits his primary care provider complaining ...

[evelyn o bentley]

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]

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.

[evelyn o bentley]

Excellent

[emsimon14]

Thanks for the timely response, appreciate it