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 B
Explanation
Choice A rationale:
Failing to regularly wash their hands after eating may contribute to the transmission of various infections, but it's not specifically related to pinworms.
Choice B rationale:
Failing to adequately wipe themselves after toileting can lead to the transfer of pinworm eggs from the anal area to the fingers and under the nails. This behavior increases the risk of ingesting the eggs through hand-to-mouth contact, which can perpetuate the pinworm infection cycle.
Choice C rationale:
Sharing clothing with friends might facilitate the transmission of certain infections like lice or fungal infections, but it's not a common mode of transmission for pinworms.
Choice D rationale:
Engaging in frequent hand-to-mouth activity might increase the risk of ingesting pinworm eggs, but the eggs are more likely to be present on the hands due to inadequate wiping after toileting.
Correct Answer is A
Explanation
Have a child life specialist explain the procedure using a doll.
Choice A rationale:
Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.
Choice B rationale:
Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.
Choice C rationale:
Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.
Choice D rationale:
Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.
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