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COMPREHENSIVE QUESTIONNAIRE 2 Children with disorders of the eyes. Children with Strabismus 1. Nurse Anne is assessing Rommel, 2 years old, for structural problems involving his eyes. She correctly concludes that Rommel may have strabismus, if the following is observed: a. Rommel often seen holding his ears b. Rommel has difficulty of articulation c. Rommel has eye discharges d. Rommel frequently tilts the head to see SQC/AN Answer. D Nurse may suspect cross eyes/strabismus when child frequently tilts the head to see or closes one eye to see, squints and verbalized frequent headache and dizziness. Diagnostic exam includes Hirschberg test (corneal light reflex) reveals unequal alignment of pupils. Another diagnostic test is cover test. This test would also reveal deviation of eyes. Esotropia- inward deviation of eyes; exotropia- outward deviation of eyes. Letter A and B, ears and articulation are not affected. 2. The visual assessment detected strabismus, left esotropia. Nurse Anne provides instruction to Rommel’s mother regarding eye patching to manage strabismus. The teaching has been effective if the mother does the following; a. Patch on the left eye b. Patch on the right eye c. Alternate patching of the right and left eye d. Patching of both eyes during night time HE/E Answer. B Management would include occlusion therapy by patching good eye in order to strengthen the weak eye. Patch right eye. Other management would include orthoptic eye exercises, corrective lenses and injection of botulinum toxin (this medication paralyzes the muscle thus, aligning vision temporarily). 3. Nurse Anne is counseling the mother about the importance of eye correction for strbismus early in life. She explains that untreated disorder could result to: a. Farsightedness b. Amblyopia c. Nearsightedness d. Astigmatism HE/AN Answer. B Strabismus is either unilateral or bilateral that may result to diplopia (double vision) or amblyopia (lazy eye/decreased in vision). Because strabismus causes the eyes to be viewing two different fields of vision, diplopia occurs. To prevent this, the child suppresses the vision in one eye or looks with one eye (amblyopia). Even if diplopia is not present, the lack of fusion leads to the same consequence. For this reason, eye correction for strabismus must be done early in life, before 6 years of age.
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4. Rommel, 2 years old, is scheduled for surgical intervention to realign the weakened eye muscles. Nurse Anne as part of her nursing care plans to: a. Explain in detail by using medical terms b. Emphasize that surgery is lengthy c. Emphasize that his normal activity can be resume just after surgical intervention d. Emphasize that only the specified body part will be involved. HE/S
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This note was uploaded on 03/29/2012 for the course BSN 101 taught by Professor Prof.emilsisco during the Spring '12 term at University of the Philippines Diliman.

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