CCRN Exam Prep - Pediatric Critical Care

Category - Free Pediatric CCRN Test Prep

Which of the following assessments would make the nurse suspect that a child has strabismus?
  1. Tilts head to see
  2. Turns head to see
  3. Does not respond when spoken to
  4. Has difficulty hearing
Explanation

Answer: A - A child with strabismus will tilt their head to see. Strabismus is when the extraocular muscles have a lack of coordination so the eyes do not align. The patient may complain of frequent headaches and squint to see and may need to go to surgery to realign the weak muscles if nonsurgical interventions do not work.

Strabismus, also known as "crossed eyes" or "squint," is a condition in which the eyes are misaligned and do not point in the same direction. In other words, while one eye looks straight ahead, the other eye may turn inward, outward, upward, or downward. This misalignment can cause problems with depth perception and binocular vision, which can lead to eye strain, headaches, and difficulty with tasks such as reading or driving.

Strabismus can be caused by a variety of factors, including problems with the muscles that control eye movement, nerve problems, and certain medical conditions. It is typically diagnosed during a comprehensive eye exam, and treatment may include corrective glasses, eye patches, or surgery to adjust the eye muscles. Early treatment is important to prevent long-term vision problems and to help the eyes work together properly.

trabismus can be relevant to critical care because it can be a sign of neurological or neuromuscular dysfunction, which may be related to a critical medical condition. For example, strabismus can occur in patients who have suffered a traumatic brain injury or stroke, and it can be a sign of increased intracranial pressure. It can also be associated with certain systemic diseases such as myasthenia gravis or multiple sclerosis, which can be potentially life-threatening.

In the critical care setting, prompt recognition of strabismus and evaluation for potential underlying causes is important for early diagnosis and treatment of the underlying condition. This can help prevent further neurological damage and improve outcomes for the patient. Additionally, patients who have undergone surgery or who are immobilized for an extended period of time may be at increased risk for strabismus due to muscle weakness, and therefore may require close monitoring for signs of eye misalignment.

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