The nurse is assessing a child with reports of right eye irritation, drainage, and itchiness. This client is at highest risk for developing
The nurse is assessing a child with reports of right eye irritation, drainage, and itchiness. This client is at highest risk for developing
A. conjunctivitis.
[86%]
B. amblyopia.
[2%]
C. nystagmus.
[1%]
D. ocular herpes.
[11%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Visual/Auditory
Client Need
Test Plan
Reduction of Risk Potential
Related Topic
Potential for Alterations in Body Systems
Item Type
Item Type
Analysis
Explanation
Choice A is correct. This client is demonstrating classic manifestations of conjunctivitis. Conjunctivitis is characterized by Itching, burning, or scratchy eyelids. Additionally, the client has drainage to the affected eye(s), a common conjunctivitis finding.
Choice B is incorrect. Amblyopia, also known as 'lazy eye,' is not an infectious process and is characterized by differences between the two eyes in their ability to focus.
Choice C is incorrect. Nystagmus is also a condition that is not infectious and is characterized by repetitive and uncontrolled movements of the eye.
Choice D is incorrect. Ocular herpes is a viral infection that does not produce drainage. This infection causes the development of vesicles.
Additional Info
✓ The clinical features of conjunctivitis are redness and swelling of the conjunctiva, eyelid edema, and discharge.
✓ Conjunctivitis may be viral (in most cases), bacterial, or allergic.
✓ Treatment is aimed at the underlying cause, which includes ophthalmic antibiotics for bacterial conjunctivitis.
✓ Symptomatic measures that can be taken to mitigate discomfort include intermittent wiping of the eye to remove debris (wipe inner canthus > outer).
✓ Additionally, for viral and bacterial causes, the nurse should stress the importance of meticulous hand hygiene to prevent the spread of the infection.
✓ The client should be instructed not to wear contact lenses during the infection.
