Ear Infections

Gold is brought to the ER for fever and ear pain the parents report the child has had many ear infections and the tubes have been recommended but the parents can't afford surgery the child is diagnosed with bilateral of tightest media the toddler is carrying a baby bottle full of juice and a parent is caring a pack of cigarettes which one preventative measure should be taught to the parents to decrease the incidence of ear infections a. When the toddler from the bottle b. give the toddler a decongestant before bedtime c. encourage the parents to smoke outside the house d. have the child's hearing checked

A

after insertion of tympanostomy tubes in a toddler, which instructions should the nurse include in the child's discharge plan for the parents a. insert ear plugs into the canals when the child bathes b. gently clean the ear canal with cotton swabs c. administer the prescribed antibiotic while the tubes are in place d. disregard any drainage from the ear after 1 week

A (prevent water from interring the tubes)

The nurse is teaching the parents of a child with the tightest media steps to do increase the risk of further infection and complications which statement should be included in teaching select all that apply a. complete all medications as prescribed b. Clean up a child ear canals weekly c. stop smoking d. decrease the amount of time if possible at day care e. use a pacifier as much as possible

A,C,D

a parent asks how to reduce the risk of the infant developing otitis media. what critical information should the nurse provide a. treat all cold symtpoms with antibiotics b. place the infant in an upright position when feeding from a bottle c. avoid washing the earts to keep them dry d.swab the outer ear with a cotton tipped swab

B

A parent asks how to reduce the risk of the infant developing otitis media what critical information should the nurse provide a. Treat all cold symptoms with antibiotics b. cplay's infant in an upright position when feeding from a bottle c. avoid washing the ears to keep them dry d. swab loud at you with a cotton tipped swab

B

The parent of a child with frequent ear infections asked the nurse if there's anything that can be done to help avoid future ear infections which is the nurses best response a. your child should be put on a daily dose of Singulair b. Your child should be kept away from tobacco smoke c. Your child should be kept away from other children with otitis media d. your child should always wear a hat went outside

B

What child would benefit most from having ear tubes placed a. a two-month-old who has had one ear infection b. a two-year-old who has had five previous ear infections c. A three-year-old who siblings has had for ear infections d. A seven-year-old who has had two ear infections this year

B

an adolescent female is prescribed amoxicillin for an ear infection. the nurse should teach the adolescent about the risks associated with her concurrent use of a. oral antihistamines b. oral contraceptives c. multiple vitamins d. ibuprofen

B (amoxicillin decreased effectiveness of birth control)

An infant is not sleeping well cry and frequently has yellow drainage from the ear and is diagnosed with an ear infection which nursing objective is the priority for the family a. Educating the parents about signs and symptoms of an ear infection b. providing emotional support for the parents c. Providing pain relief for the child d. Promoting the flow of drainage from the ear

C

The parents of a child diagnosed with otitis media asked the nurse why their healthcare provider instructed them to wait 48 hours before filling a prescription for an antibiotic to treat the infection what is the best information for this nurse to give to the parents a. Your infections need to fully settled in before antibiotics are effective b. Antibiotics may cause drug resistance later c. The child's body may fight the infection on its own without the use of antibiotics d. Waiting to fill the prescription will save you money

C

What should be included in instructions to the parent of a child prescribe amoxicillin to treat an ear infection a. Continue the amoxicillin until the child symptoms subside b. Administer an over-the-counter anti-histamine with the antibiotic c. administer the amoxicillin until all the medication is gone d. Allow your child to administer his own dose of amoxicillin

C

Which is the nurses best response to the parent of an infant diagnosed with the first otitis media who wonders about long term affects a. The child could set for hearing loss b. the child could suffer some speech delays c. the child could suffer recurrent ear infections d. The child could require ear tubes

C

Which statement by the parents of a toddler with repeated otitis media indicates they need additional teaching a. If I quit smoking my child may have a decrease chance of getting an ear infection b. As my child gets older he should a few were ear infections because his immune system will be more developed c. I child will have fewer ear infections if he has his tonsils removed d. my child may need a speech evaluation

C

A child is diagnosed with right chronic otitis media after the child returns from his tube placement which intervention is appropriate a. Apply gauze dressings b. Position the child on the left side c. position the child on the right side d. apply warm compresses to both ears

C (facilitate drainage)

The parents of a one-year-old infant who has otitis media are curious about the factors that predispose their child to this infection the nurse knows that teaching has been successful when the parents state a. my child Cartlidge needs to develop b. when my child lies down the fluid drains in the wrong place c. my child has several siblings d. my child eustachian tube's are short which increases the risk of infection

D

the parents of a toddler want to know why ear tubes will help prevent otitis media. the nurse should explain that a. antibiotics were not working well, and the tubes need to be placed b. the middle ear needs to be flushed out to prevent infection c. the tubes help relive the pressure in the ear, thus prevent infection d. the tubes help drain fluid, thus help to prevent infection

D