A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
Educate the family about antibiotic administration
Administer analgesic medication
Apply an ice pack to the affected ear
Provide diversional activity for the child
The Correct Answer is B
A. Educating the family about antibiotics is important but not the immediate priority for symptom management.
B. Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.
C. Applying an ice pack can provide some comfort but does not directly address the child's pain as effectively as medication.
D. Providing diversional activities may help occupy the child but is not a direct intervention for the pain associated with acute otitis media.
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Correct Answer is B
Explanation
A. While abdominal surgery may be needed in some cases of intussusception, non-surgical interventions are often attempted first.
B. An enema with air infusion (often a contrast enema) can be used to treat intussusception by helping to unfold the intestine, making it a commonly discussed procedure.
C. An ano-rectal pull-through procedure is not related to intussusception and is usually indicated for conditions like Hirschsprung's disease.
D. A colostomy may be necessary in cases of bowel necrosis or perforation but is not the first-line treatment for intussusception.
Correct Answer is B
Explanation
A. Switching to a different formula may not address the underlying issue and could lead to further complications.
B. Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.
C. Giving oral rehydration solutions is not appropriate before assessing the infant's condition, especially if there’s a possibility of a serious underlying issue.
D. While burping is generally recommended, it is not the solution to the problem of projectile vomiting and does not address the need for urgent assessment.
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