A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?
Otitis Externa
Otitis Media
A viral sore throat
Sinus infection
The Correct Answer is B
A. Otitis externa, or swimmer's ear, is an infection of the outer ear canal, typically caused by water exposure, and usually presents with itching, discomfort, or drainage rather than fever and ear pain.
B. Otitis media, an infection of the middle ear, is common in children and often presents with symptoms such as fever, ear pain, and irritability. The child’s behavior of crying and rubbing the ear is consistent with this condition.
C. A viral sore throat usually presents with throat pain, fever, and sometimes coughing or congestion, but ear pain is less commonly associated.
D. A sinus infection may cause facial pain, nasal congestion, and discharge but is less likely to present with ear pain and rubbing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pyloric stenosis involves narrowing of the pylorus, causing vomiting and dehydration, not mechanical obstruction due to motility issues.
B. Hirschsprung's disease is a condition where part of the intestine lacks proper motility due to missing nerve cells, leading to a mechanical obstruction and constipation.
C. Enterocolitis typically involves inflammation and infection of the intestines, not a motility issue.
D. Intussusception is a condition where one part of the intestine telescopes into another, causing an obstruction, but it is not related to motility.
Correct Answer is C
Explanation
A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.
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