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 B

Explanation

A. Place the patch on the right eye for several hours daily would not be effective for treating amblyopia. The goal of patching is to encourage the use of the weaker (lazy) eye, so the good eye (left) must be patched.

B. Place the patch on the left eye for several hours daily is the correct approach to treat amblyopia, as it forces the right (weaker) eye to work and improve visual acuity.

C. Place the patch on the right eye for one hour daily would not effectively treat the amblyopia in the left eye, as it focuses on the wrong eye.

D. Alternate the patch from the right to the left eye hourly is not typically done. Consistent patching of the stronger (left) eye is recommended.

A. Right ventricular hypertrophy B. Left ventricular hypertrophy C. Patent ductus arteriosus (PDA) D. Ventricular septal defect (VSD) E. Pulmonary stenosis (PS) F. Overriding aorta

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.

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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

The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?

Correct Answer is B

Explanation

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

Explanation

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