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A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Increased temperature.

Sudden pain relief.

Popping sensation when swallowing.

Green-blue discharge in the ear canal.

Answer and Explanation

The Correct Answer is B

Rationale

B. Sudden pain relief: The intense pain associated with otitis media is caused by the accumulation of fluid and pressure against the tympanic membrane. When the membrane ruptures, that pressure is instantaneously released, resulting in a sudden and dramatic decrease in pain. This is often followed by purulent (pus-filled) or serosanguineous (bloody) drainage in the external ear canal.

Why the others are incorrect

A. Increased temperature: While a fever is a common sign of an acute infection (Acute Otitis Media), it is not a specific indicator that the eardrum has ruptured. In fact, systemic symptoms like fever may actually decrease once the pressure and infection are vented through a rupture.
C. Popping sensation when swallowing: This sensation is typically associated with the opening and closing of the Eustachian tube as it attempts to equalize pressure in the middle ear. It is a common symptom of Eustachian tube dysfunction or fluid in the ear, but it indicates an intact eardrum rather than a ruptured one.
D. Green-blue discharge in the ear canal: While drainage (otorrhea) occurs after a rupture, the color is typically clear, bloody, or yellowish-white (purulent). Green-blue discharge is more characteristic of Pseudomonas infections, often seen in otitis externa (swimmer's ear), rather than a standard tympanic membrane rupture from middle ear effusion.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: Teaching the client about using hats and scarves is helpful, but providing resources for wigs and head coverings offers more comprehensive support and options.

Choice B reason: Explaining that hair loss is a temporary side effect of chemotherapy is informative but does not directly address the client's distress.

Choice C reason: Providing resources for wigs and other head coverings directly addresses the client's concern about hair loss. It offers practical solutions and helps the client cope with the physical changes caused by chemotherapy.

Choice D reason: Recommending limited social interactions to avoid embarrassment is not supportive. It may increase feelings of isolation and does not address the underlying distress.

A. Cigarettes or tobacco smoke B. Air pollution C. Any physical activity D. Certain cough products

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Cigarette or tobacco smoke is a major trigger for asthma attacks. Inhaling smoke irritates the airways, leading to inflammation and bronchoconstriction, making it harder for asthmatic individuals to breathe.

Choice B reason: Air pollution, including smog, industrial emissions, and vehicle exhaust, can exacerbate asthma symptoms. Pollutants in the air can trigger airway inflammation and constriction, leading to asthma attacks.

Choice C reason: Physical activity is not a common trigger for moderate persistent asthma if managed properly. Regular exercise is generally encouraged for overall health and can help improve lung function. However, clients should use their prescribed inhaler and follow their asthma action plan to manage exercise-induced asthma symptoms.

Choice D reason: Certain cough products, especially those containing ingredients like menthol or chemicals, can irritate the airways and trigger asthma symptoms. It's important for clients with asthma to avoid using over-the-counter cough products without consulting their healthcare provider.

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A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Rationale

Why the others are incorrect

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client undergoing chemotherapy for breast cancer is distressed about hair loss. The most effective intervention by the nurse would be to:

Correct Answer is C

Explanation

The nurse is caring for a child who was recently diagnosed with moderate persistent asthma. Which common asthma triggers should the nurse teach the client to avoid?

Correct Answer is ["A","B","D"]

Explanation

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