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 ["C","E"]

Explanation

A. This statement is correct. Airway constriction during an asthma attack can be dangerous.

B. Identifying and avoiding asthma triggers is an appropriate strategy for managing asthma.

C. Keeping a pet in the home when allergic to it or exposed to asthma triggers can worsen symptoms. This needs further education about asthma management.

D. Taking albuterol prior to exercise is a recommended strategy to prevent exercise-induced asthma.

E. Calling 911 immediately during an asthma attack is not the first step unless the child is unable to manage it with their prescribed rescue medication (e.g., albuterol). The first action should be to use the rescue inhaler.

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

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