A 16-month-old patient being seen at the clinic has a fever and a diagnosis of bilateral otitis media. Which comment by the mother is most likely related to the patient's diagnosis?
"My child is a very picky eater and wants only macaroni and cheese.".
"My child falls asleep at night drinking a bottle of juice.".
"My child likes to pull off his hat when outdoors.".
"My child will not wear shoes in the house.".
The Correct Answer is B
Choice A rationale:
The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.
Choice B rationale:
This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.
Choice C rationale:
The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.
Choice D rationale:
The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Administering a bolus of intravenous (IV) fluids might be necessary for severe dehydration, but in mild dehydration, oral rehydration is preferred as it avoids potential complications associated with IV fluids.
Choice B rationale:
Offering clear fluids, popsicles, and gelatin is appropriate, but this choice does not specifically address rehydration, which is the primary concern in mild dehydration.
Choice C rationale:
Offering oral rehydration solution (ORS) in small, frequent amounts is the most appropriate intervention for mild dehydration secondary to diarrhea. ORS contains the right balance of electrolytes and fluids to rehydrate without overwhelming the gastrointestinal tract.
Choice D rationale:
Keeping the child on a strict BRAT diet (bananas, rice, applesauce, toast) is an outdated approach. While BRAT foods can be tolerated during mild illness, they lack the necessary electrolytes and fluids to effectively rehydrate.
Correct Answer is C
Explanation
Choice A rationale:
Taking the medication each night at bedtime is not recommended, as stimulant medications can interfere with sleep. Administering them before bedtime can lead to insomnia.
Choice B rationale:
The medication's dosing frequency every 12 hours is not accurate for ADHD stimulant medications. They are typically taken in the morning and may have shorter-acting formulations for later in the day if needed.
Choice C rationale:
Taking the medication 30 minutes before breakfast is a common instruction for stimulant medications used to treat ADHD. This timing aligns with the child's daily routine and helps manage potential appetite suppression.
Choice D rationale:
Taking the medication with every meal is not recommended, as it might interfere with absorption and effectiveness. Stimulant medications are typically taken in the morning and, if necessary, at lunchtime.
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