Which screening tool should the nurse use to screen a pediatric client for esotropia?

1. Examine the eye with an otoscope.
2. Check for the "red reflex" in the eyes.
3. Perform the cover–uncover test.
4. Use a tonometer to evaluate the eyes.


3
Explanation:
1. An otoscope is used to examine the ear, not the eye.
2. The red reflex visualizes the retina and is used to identify infants with cataracts.
3. When one eye is covered while the child is looking at an object, the uncovered eye will deviate from the location; this tool is used to detect strabismus.
4. The tonometer measures intraocular pressure and is used to evaluate glaucoma.

Nursing

You might also like to view...

The nurse is caring for a patient receiving intrathecal baclofen via pump while participating in rigorous rehabilitation therapy. What is the nurse's priority to monitor related to adverse effects of this drug?

A) Blood pressure B) Pulse pressure C) Spasticity D) Respiratory status

Nursing

The informatics nurse suggests a clinical information system with computerized provider order entry (CPOE). Which is an advantage of having a CPOE?

A) Can use electronic entry or hand-written orders B) Each department is notified simultaneously as orders are processed through the system C) Eliminates standing orders D) Reduces the need to validate telephone orders

Nursing

The nurse administers oxygen to a patient who has lost a moderate amount of blood following a motor vehicle accident. What is the primary reason for this intervention?

1. ease the work of breathing for the patient 2. compensate for the reduction in circulating oxygen 3. provide comfort during assessment 4. prevent shock from developing

Nursing

A post op day 1 patient is found to have hypoactive bowel tones. The nurse knoes this an expected (though abnormal) finding because of which of the following reasons? Select all apply.

A. The patient was NPO prior to surgery. B. The patient is diabetic C. Th patient received general anesthetic and opiod pain medication D. The patient has decreased physical mobility

Nursing