A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)
Fever.
Crying.
Enlarged subclavicular lymph node.
Restlessness.
Increased appetite.
Correct Answer : A,B,D
D.
Choice A rationale:
Fever is a common sign of acute otitis media, indicating an infection. Elevated body temperature is a natural response to infection as the body tries to fight off the invading pathogens.
Choice B rationale:
Crying is a common symptom in infants with acute otitis media due to ear pain and discomfort caused by the infection. It is a way for the infant to express distress.
Choice C rationale:
Enlarged subclavicular lymph node is not a typical finding in acute otitis media. Enlarged lymph nodes can indicate an immune response but are not specific to this condition.
Choice D rationale:
Restlessness can be a symptom of acute otitis media. Infants may become irritable and have difficulty sleeping due to ear pain and discomfort.
Choice E rationale:
Increased appetite is not a typical finding in acute otitis media. Illnesses often cause a decreased appetite rather than an increased one.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering acyclovir PO (by mouth) is not the appropriate treatment for impetigo. Acyclovir is an antiviral medication used to treat viral infections, such as herpes simplex virus infections. Impetigo is a bacterial skin infection and is typically treated with topical or oral antibiotics targeting the responsible bacteria.
Choice B rationale:
Applying bactericidal ointment to lesions is the correct choice. Impetigo is a bacterial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes. Topical antibiotics, such as mupirocin, are effective in treating impetigo. These medications help eliminate the bacteria, promoting healing of the skin lesions.
Choice C rationale:
Soaking hairbrushes in boiling water for 10 minutes is not a relevant instruction for impetigo management. Impetigo is primarily spread through direct contact with the infected skin lesions, not through contaminated objects like hairbrushes. The focus should be on maintaining good hygiene, such as regular handwashing, to prevent the spread of the infection.
Choice D rationale:
Sealing soft toys in a plastic bag for 14 days is not a necessary measure for impetigo management. Impetigo is primarily spread through direct contact with the infected skin lesions, not through soft toys. The key prevention strategies include proper
Correct Answer is C
Explanation
Choice A rationale:
Providing frequent range of motion to the neck and shoulders is not appropriate for an infant with bacterial meningitis. Meningitis is an inflammation of the membranes surrounding the brain and spinal cord and can cause severe neck pain and stiffness. Range of motion exercises could exacerbate the discomfort and should be avoided.
Choice B rationale:
Keeping the television on in the room to provide background noise is not appropriate for an infant with bacterial meningitis. Infants with meningitis need a quiet and calm environment to reduce stimuli and promote healing.
Choice C rationale:
Padding the side rails of the crib is important to prevent injury during seizures, which can occur in bacterial meningitis. Seizures can cause uncontrolled movements, and padding the crib rails can prevent the infant from getting hurt during these episodes.
Choice D rationale:
Placing the infant in a semiprivate room is not appropriate for bacterial meningitis. Infants with meningitis need isolation to prevent the spread of the infection to other patients. They should be placed in a private room with strict infection control measures in place.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.