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Pts 1 dif cognitive level evaluationevaluating ref p

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PTS: 1DIF:Cognitive Level: Evaluation/EvaluatingREF: p. 1363OBJ: Nursing Process: EvaluationMSC: Client Needs: Physiologic Integrity
TestBankWorld.org21.Discharge planning for an 8-year-old child with a patched eye after a large corneal abrasionshould include which instruction?a.Removing the patch after 8 hours for instillation of antibiotic ointmentb.Gently massaging the affected eye to prevent edemac.Keeping the patch in place for 24 hoursd.Returning after 7 days of patching for reassessmentANS: CWith severe abrasions, the eye should be patched and left undisturbed for 24 hours. After 24hours, treatment with antibiotic ointment is started. Massaging the affected eye will increasethe size of the abrasion and should be avoided. The child should also be taught not to rub theaffected eye. The child should return in 24 hours for reassessment if the eye is patched.PTS: 1DIF:Cognitive Level: Application/ApplyingREF: p. 1364OBJ: Nursing Process: PlanningMSC: Client Needs: Physiologic Integrity22.A patient who has a hyphema is at risk for developing which condition?a.Glaucomab.Strabismusc.Diplopiad.AstigmatismANS: AAfter hyphema, there is a risk for the development of glaucoma. There is no connectionbetween the other conditions and hyphema.PTS: 1DIF:Cognitive Level: Knowledge/RememberingREF: p. 1364OBJ: Nursing Process: AssessmentMSC: Client Needs: Physiologic Integrity23.A parent brings an 18-month-old to the pediatrician for a routine well-child visit and reportsthe child has been babbling and cooing since 6 months of age but is not yet saying any words.Which response by the nurse is the most appropriate?a.“Don’t worry, your child should catch up soon.”b.“The doctor will want to refer your child to an audiologist and speech pathologist.”c.“This is normal speech development for an 18-month-old child.”d.“Your child has an expressive language disorder and needs further evaluation.”ANS: BThis is an appropriate response. By 18 months children should be speaking in simplesentences. Adequate hearing is essential for the development of speech. Hearing and languageshould be tested, and a referral to an audiologist and speech pathologist is indicated. The nurseshould not give false reassurance and needs to address the parent’s concerns. The nurse cannotdiagnose an expressive language disorder.PTS: 1DIF:Cognitive Level: Application/ApplyingREF: p. 1367OBJ: Nursing Process: ImplementationMSC: Client Needs: Health Promotion and Maintenance
TestBankWorld.org24.The most common type of hearing loss, which results from interference of transmission ofsound to the middle ear, is calleda.conductive.b.sensorineural.c.mixed conductive-sensorineural.d.central auditory imperceptive.ANS: AConductive or middle ear hearing loss is the most common type. It results from interference oftransmission of sound to the middle ear, most often from recurrent otitis media. The othertypes occur much less often.

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