A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?

"Does anyone smoke in the same house as your daughter?"

"Has your daughter had a lot of earwax in her ears over the last month?"

"Has your daughter been king glass of water day?"

"Does your daughter get water in her ears when you bath her?

Answer and Explanation

The Correct Answer is A

A. Exposure to environmental tobacco smoke (passive smoking) is a known risk factor for otitis media, as it can irritate the upper respiratory tract and increase susceptibility to respiratory infections, including those affecting the ears.

B. Excessive earwax buildup can sometimes contribute to ear discomfort or hearing problems but it is not a common cause of persistent otitis media. However, it's still important for the nurse to assess for any earwax issues as part of the overall assessment of the child's ear health.

C. Drinking water is generally beneficial for overall health but is not directly linked to otitis media unless there are specific concerns about hydration status or exposure to contaminated water sources.

D. Water entering the ears during bathing is not generally considered a significant risk factor for otitis media, but it can be associated with otitis externa, which is an infection of the outer ear canal.

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Correct Answer is C

Explanation

C. Salicylates, such as aspirin, should be avoided in children and adolescents with viral symptoms due to the association with Reye's syndrome. Instead, acetaminophen or other non-steroidal anti-inflammatory drugs (NSAIDs) without salicylates should be used for fever and pain relief.

A. Reye's syndrome typically presents with symptoms such as fever, vomiting, and lethargy. However, there isn't a specific test for Reye's syndrome itself. Diagnosis is often based on clinical symptoms, history of aspirin use, and laboratory findings.

B. Reye's syndrome is associated with the use of aspirin (salicylates) in children and adolescents with viral infections, particularly influenza and chickenpox. Acetaminophen (Tylenol) is recommended instead of aspirin for fever and pain relief in children with viral illnesses.

D. There isn't a specific vaccine for Reye's syndrome. Reye's syndrome is not caused by an infectious agent that can be prevented through vaccination.

Correct Answer is ["3.1"]

Explanation

1kg = 2.205lbs Weight in kgs= 9.979
Desired dose= 10mg/kg Dose= 99.79mg
Volume= desired dose/ available concentration per ml Volume= 99.79mg/ 32
Volume= 3.12mls
Therefore, the nurse should administer 3.1mls

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A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?

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Naxlex Comprehensive Predictor Exams

The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

Correct Answer is C

Explanation

Correct Answer is ["3.1"]

Explanation

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