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.".

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice D rationale:

Monitoring the cardiac catheterization site for bleeding is the priority nursing intervention when a child feels nauseous and vomits after a cardiac catheterization. Bleeding from the catheterization site could lead to serious complications and requires immediate attention.

Choice A rationale:

Applying a cool cloth to the child's forehead can provide comfort, but it doesn't address the potential complication of bleeding from the catheterization site.

Choice B rationale:

Offering the child sips of orange juice is not appropriate if the child is nauseous and vomiting. Fluid intake should be monitored, but bleeding assessment takes priority.

Choice C rationale:

Applying pressure to the cardiac catheterization site is not the priority intervention. Monitoring for bleeding and assessing the site are more important.

A. Your child may want to be close to you most of the time for a while. B. It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home. C. You may find that your child is much more independent than before hospitalization. D. Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.

Correct Answer is A

Explanation

Choice A rationale:

After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.

Choice B rationale:

Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.

Choice C rationale:

Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.

Choice D rationale:

While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a 9-year-old child feels nauseous and vomits after a cardiac catheterization, which is the priority nursing intervention?

Correct Answer is D

Explanation

The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?

Correct Answer is A

Explanation

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