Chapter 35: Eye, Ear and Throat Problems

1, 5, 6

A child has been diagnosed with acute otitis media of the right ear. Which interventions would the nurse include in the plan of care? Select all that apply. 1. Provide a soft diet. 2. Position the child on the left side. 3. Administer an antihistamine twice daily. 4. Irrigate the right ear with normal saline every 8 hours. 5. Administer ibuprofen for fever every 4 hours as prescribed and as needed. 6. Instruct the parents about the need to administer the prescribed antibiotics for the full course of therapy.

1

After a tonsillectomy, a child begins to vomit bright red blood. The nurse would take which initial action? 1. Turn the child to the side 2. Administer the prescribed antiemetic 3. Maintain NPO status 4. Notify the PCP

2

After a tonsillectomy, the nurse reviews the surgeon's postoperative prescriptions. Which prescription would the nurse question? 1. Monitor for bleeding 2. Suction Q2 3. Give no milk or milk products 4. Give clear, cool liquids when the client is awake and alert

1

Antibiotics are prescribed for a child with otitis media who underwent a myringotomy with insertion of tympanostomy tubes. The nurse provides D/C instructions to the parents regarding the administration of the ABX. Which statement, if made by the parents, indicates understanding of the instructions provided? 1. "Administer the ABX until they are gone." 2. "Administer the ABX if the child has a fever" 3. "Administer the ABX until the child feels better" 4. "Begin to taper the ABX after 3 days of a full course"

Strabismus

Squint or cross eye, permanent loss of vision can occur if not treated early

2

The daycare nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse indicates the presence of this condition? 1. The child has difficulty hearing. 2. The child consistently tilts the head to see. 3. The child does not respond when spoken to. 4. The child consistently turns the head to hear.

1

The nurse is caring for a child after a tonsillectomy. The nurse monitors the child, knowing that which finding indicates the child is bleeding? 1. Frequent swallowing 2. A decreased pulse rate 3. Complaints of discomfort 4. Elevation in BP

2

The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on the plan of care to place the child in which position? 1. Supine 2. Side-lying 3. High-fowlers 4. Trendelenburg's

2

The nurse is reviewing the laboratory results for a child scheduled for a tonsillectomy. The nurse determines that which laboratory value is most significant to review? 1. Creatinine level 2. Prothrombin time 3. Sedimentation rate 4. BUN level

3

The nurse prepares a teaching plan for the parent of a child diagnosed with bacterial conjunctivitis. Which, if stated by the parent, indicates a need for further teaching? 1. "I need to wash my hands frequently." 2. "I need to clean the eye as prescribed" 3. "It is okay to share towels and washcloths 4. I need to give the eye drops as prescribed

2

The parent of a 6 yo child arrives at a clinic because the child has been experiencing itchy, red and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that which requires further investigation? 1. Possible trauma 2. Possible sexual abuse 3. presence of an allergy 4. Presence of a respiratory infection

viruses

antibiotics are not affective against

pull the earlobe down and back

to administer ear medications in a child younger than 3 years, we