Which chart should the nurse use to assess the visual acuity of an 8 year old child?




CHILD AND FAMILY ASSESSMENT AND PREPARATION



  • Perform external assessment of the child’s eyes and lids. Use the ABC checklist for vision, as appropriate:



    • A = appearance: eyes turning in or out, ptosis, swelling, differently sized pupils


    • B = behavior: head tilting, squinting, excessive stumbling, fumbling, or awkwardness


    • C = child’s statement: headaches, blurry vision, cannot see the board, double vision

      Which chart should the nurse use to assess the visual acuity of an 8 year old child?
      Any visual complaint or manifestation of vision problems from a child warrants referral to an eye specialist, regardless of test results. Another important referral criterion is family member observations.


  • Obtain ocular history:



    • Inquire about relevant familial eye disorders such as childhood cataracts or glaucoma, strabismus, amblyopia, and parental or sibling history of wearing glasses in preschool or early childhood.


    • Explain the procedure to the family and the child in an age-appropriate manner and in the primary language (see Table 117-1 for common vision screening tests and their purpose). Assure them that the procedures are painless.


Jul 9, 2020 | Posted by in NURSING | Comments Off on Vision Screening

19.The nurse is assessing a 4-year-old child’s visual acuity. The results indicate a visual acuity of 20/40 inboth eyes. The child’s father asks the nurse about his son’s results. Which response, if made by the nurse, is correct?

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20.When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones.This should be considered

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21.Which cranial nerve is assessed when the child is asked to imitate the examiner’s wrinkled frown,wrinkled forehead, smile, and raised eyebrow?

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22.Which assessment finding is considered a neurologic soft sign in a 7-year-old child?

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23.Which parameter correlates best with measurements of the body’s total muscle mass–to-fat ratio?

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24.Which tool measures body fat most accurately?

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25.When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, andwarm. What is the best explanation for this?

7.Which chart should the nurse use to assess the visual acuity of an 8-year-old child?a.Lea chartb.Snellen chartc.HOTV chartd.Tumbling E chartANS: BFeedbackAThe Lea chart tests vision using four different symbols designed for use with

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Which chart should the nurse use to assess the visual acuity of an 8 year old child?

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preschool children.BThe Snellen chart is used to assess the vision of children older than 6 years ofage.CThe HOTV chart tests vision by using graduated letters and is designed for usewith children ages 3 to 6 years.DThe tumbling E chart uses the letter E in various directions and is designed foruse with children ages 3 to 6 years.PTS:1DIF:Cognitive Level: ComprehensionREF:p. 817 | Box 33-8OBJ:Nursing Process: ImplementationMSC:Client Needs: Health Promotion and Maintenance8.Which action is appropriate when the nurse is assessing breath sounds of an 18-month-oldcrying child?

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PTS:1DIF:Cognitive Level: ApplicationREF:p. 805OBJ:Nursing Process: ImplementationMSC:Client Needs: Health Promotion and Maintenance9.The nurse is obtaining vital signs on a 1-year-old child. What is the most appropriate site forassessing the pulse rate?

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PTS:1DIF:Cognitive Level: ApplicationREF:p. 809

OBJ:Nursing Process: AssessmentMSC:Client Needs: Health Promotion and Maintenance10.A nurse is reviewing pediatric physical assessment techniques. Which statement aboutperforming a pediatric physical assessment is correct?

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Nursing, Cognitive Level, Physical examination

When performing a physical assessment on a toddler what should be done last?

When performing the physical assessment, the nurse uses the four basic techniques of inspection, palpation, percussion, and auscultation, generally in that order. During the abdominal examination, the sequence is altered; inspection is performed first, and then auscultation, percussion, and palpation.

Which cranial nerve is assessed when the child is asked to imitate the examiner's wrinkled frown wrinkled forehead smile and raised eyebrow?

Cranial Nerve VII – Facial Nerve Ask the patient to smile, show teeth, close both eyes, puff cheeks, frown, and raise eyebrows. Look for symmetry and strength of facial muscles.

Which consideration is most important for the nurse when planning to communicate with a preschool child?

Listening is an essential component of the communication process. By practicing active listening skills, nurses can be effective listeners.