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. Sleeping through the night without waking up is normal for a 15-month-old and indicates a healthy sleep pattern.
B. Lack of eye contact or social interaction is a concern as it may indicate developmental delays or social- emotional issues. Toddlers typically engage in social behaviors like eye contact and playing with others.
C. Pointing to body parts when asked is a positive developmental milestone and indicates appropriate cognitive development for a 15-month-old.
D. Drinking from a sippy cup is a typical developmental skill for a 15-month-old, indicating progress in motor skills and self-feeding.
Correct Answer is A
Explanation
A. Pain is a common and distressing symptom in children with otitis media. Assessing and managing the
child’s pain should be a priority.
B. While assessing vision can be important in some conditions, it is not a priority for recurrent otitis media.
C. Assessing lung sounds is important for respiratory assessments but not as relevant for otitis media.
D. Blood pressure assessment is not specifically indicated for otitis media unless there are other concerns.
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