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?
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. An oxygen saturation level of 85% is significantly below the normal range and indicates hypoxemia (low blood oxygen levels). This finding is concerning, especially in a child with cystic fibrosis, which can lead to respiratory complications such as airway obstruction, infection, or mucus plugging.
A. A blood glucose level of 140 mg/dL is within the normal range for children, so this finding would not typically require immediate reporting to the provider.
B. A serum sodium level of 156 mEq/L is significantly elevated and above the normal range. However, hypoxia is the priority.
C. A red blood cell (RBC) count of 3.2 million/µL falls within the normal range for children, so this finding would not typically require immediate reporting to the provider.
Correct Answer is A
Explanation
A. Amblyopia occurs when one eye has weaker vision than the other due to abnormal visual development early in life. Patching the good eye helps to encourage the brain to rely more on the weaker eye, stimulating its visual development. This treatment aims to improve vision in the affected eye and restore visual acuity.
B. Patching the affected eye is not a common treatment for amblyopia. In fact, patching the affected eye would further decrease visual input to that eye and could potentially exacerbate the condition. The goal of treatment for amblyopia is to strengthen the weaker eye by encouraging its use, rather than resting it.
C. Corticosteroids are not typically used to treat amblyopia unless there is a specific underlying condition causing inflammation of the optic nerve. Amblyopia is primarily a developmental issue rather than an inflammatory condition, so corticosteroids would not be the first-line treatment for this condition.
D. This is not a common treatment for amblyopia. In fact, the goal of treatment for amblyopia is to improve vision in the affected eye, not to intentionally blur the vision in the good eye. Glasses prescribed for amblyopia typically aim to correct refractive errors (such as nearsightedness, farsightedness, or astigmatism) and provide clear vision to both eyes, which can help support visual development in the weaker eye.
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