A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

Itching and tenderness when manipulating the affected ear lobe

Fullness in the ear and a clogged sensation without other systemic findings

Edema and erythema of the external canal only

Pulling on the affected ear, acute onset of fever and otalgia

Answer and Explanation

The Correct Answer is D

A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.

B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.

C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.

D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.

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Correct Answer is ["A","D","E","F"]

Explanation

A. Right ventricular hypertrophy is part of the pathophysiology of TOF, resulting from the increased workload on the right ventricle due to pulmonary stenosis.

B. Left ventricular hypertrophy is not part of TOF; the condition primarily affects the right ventricle.

C. Patent ductus arteriosus (PDA) is not a characteristic of TOF, although it may be present in some cases, it's not part of the primary defects.

D. Ventricular septal defect (VSD) is a primary defect in TOF, which allows blood to mix between the left and right ventricles.

E. Pulmonary stenosis (PS) is a key feature of TOF, causing right-sided obstruction.

F. Overriding aorta occurs when the aorta is positioned directly over the VSD, receiving blood from both the right and left ventricles.

A. "My child needs to stay home from school for at least 2 weeks to complete the entire prescription of eye drops" B. "My child cannot return to school until free from discharge" C. "My child will need to stay home from school until my child has received the eye medication for at least 24 to 48 hours" D. "My child can return to school immediately because my child is not contagious"

Correct Answer is C

Explanation

A. Staying home for 2 weeks is excessive; typically, 24 to 48 hours of antimicrobial therapy is enough before the child is no longer contagious.

B. While discharge is a sign of infection, the child can often return to school after receiving treatment for 24 to 48 hours.

C. This is correct. Bacterial conjunctivitis is contagious, and children should stay home until they've been on antibiotics for 24 to 48 hours to reduce transmission.

D. This is incorrect; the child should stay home for 24 to 48 hours after starting treatment, as they can still be contagious during that time.

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A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

Tetralogy of Fallot (TOF) involves which defects? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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