ch 39 prep u
A 10-year-old client has just been treated for external otitis (acute otitis externa or swimmer's ear) and now the nurse is teaching the boy and his parents about prevention. Which recommendation should the nurse include? Using alcohol and vinegar for soreness. Using a hair dryer on cool to dry the ears. Using cotton swabs to keep the inner ear dry. Washing the hair only when necessary.
Using a hair dryer on cool to dry the ears.
A child diagnosed with acute otitis media has been given a prescription for benzocaine. The nurse is correct when she makes which statement? "Benzocaine drops should be placed in your eye to numb it and reduce pain." "Benzocaine drops should be placed in your ear to numb it and reduce pain." "Benzocaine is an antibiotic for your eye infection." "Benzocaine is an antibiotic for your ear infection."
"Benzocaine drops should be placed in your ear to numb it and reduce pain."
A toddler has been diagnosed with otitis media with effusion. The parents tell the nurse, "We really don't understand what that diagnosis means." How should the nurse respond? "It's just a medical term that means an infection of the middle ear." "There is an infection somewhere in the ear canal and their is fluid in the canal." "It would probably be best if you talked to the doctor again about the diagnosis." "The diagnosis means unwanted fluid is within the middle ear space, and there may or may not be an infection present."
"The diagnosis means unwanted fluid is within the middle ear space, and there may or may not be an infection present."
In children with otitis media, a procedure known as a myringotomy may be performed. Which statement is most accurate regarding this procedure? This procedure is performed as soon as otitis media is diagnosed. During this procedure, small tubes are inserted into the tympanic membrane. A small incision is made in the earlobe during this procedure. The purpose of this procedure is to decrease or stop the drainage.
During this procedure, small tubes are inserted into the tympanic membrane.
The nurse is examining a 3-year-old child with acute otitis media (AOM) who has a mild earache and a temperature of 101.3°F (38.5ºC). Which action will be taken first? Instruct the parents to watch for worsening symptoms. Administer an antibiotic. Obtain a culture of the middle ear fluid. Administer a nonsteroidal anti-inflammatory drug (NSAID).
Instruct the parents to watch for worsening symptoms.
The nurse is caring for a child who has conductive hearing loss. What is true regarding this type of hearing loss? It is caused by chronic otitis media or another infection. It is often undetected until the child goes to school. It is caused by maternal rubella. It is generally severe and unresponsive to medical treatment.
It is caused by chronic otitis media or another infection.
A child returns to the clinic after an episode of external otitis (acute otitis externa or swimmer's ear) that has resolved. What would the nurse emphasize as the priority for preventing future episodes? Adhering to regular follow-up to assess for hearing loss Keeping ear canals dry Performing handwashing Avoiding upper respiratory tract infections
Keeping ear canals dry
The nurse is performing a physical assessment for an 8-year-old child with an earache. Which sign or symptom indicates external otitis (acute otitis externa or swimmer's ear)? The child cries out when the ear is grasped. The ear canal is devoid of cerumen. Symptoms of upper respiratory infection are present. The tympanic membrane reacts to a puff of air.
The child cries out when the ear is grasped.
The nurse is caring for a 20-month-old girl with equivocal bacterial otitis media, a severe earache, and a temperature of 39°C (102.2°F). Which intervention would the nurse expect to implement? determining if the girl's balance is shaky when walking administering antivirals to ensure broad coverage of all organisms obtaining a culture of fluid from the middle ear administering antibiotics as soon as they're available
administering antibiotics as soon as they're available
The nurse is educating the parents of a 4-year-old boy with strabismus. Teaching for the parents would include the: need for ultraviolet-protective glasses postoperatively. importance of completing the full course of oral antibiotics. possibility that multiple operations may be necessary. importance of patching as prescribed.
importance of patching as prescribed.
A 9-year-old child is brought to the urgent care center by the parent. Based on assessment findings, the nurse suspects external otitis (acute otitis externa or swimmer's ear). Which finding on otoscopic examination supports this suspicion? bulging, red tympanic membrane reddish-brown discharge swollen, inflamed ear canal copious, soft, yellow cerumen
swollen, inflamed ear canal
The nurse is educating the parents of a 5-year-old girl with infectious conjunctivitis about the disorder. Which information is most important to provide to prevent the spread of the disorder? staying home from school keeping hands away from eyes washing hands frequently properly applying the prescribed antibiotic
washing hands frequently
A parent of a newborn asks the nurse if there is any way to prevent acute otitis media. What would the nurse state to the parent? The frequency of otitis media is reduced in breastfed infants. Prophylactic myringotomy tubes can be inserted at birth. Prophylactic acetic acid instillations may be helpful. Starting immunizations at birth rather than age 2 months might help.
The frequency of otitis media is reduced in breastfed infants.
The nurse is educating the parents of a 6-year-old child about preventing hearing loss. Which topic will be included in the discussion? playing the radio loudly tendency to act silly in the classroom suddenly doing poorly in school prevention and treatment of otitis media
prevention and treatment of otitis media
