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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["300"]
Explanation
To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.
Correct Answer is D
Explanation
A. While monitoring temperature can be important, it is not the primary focus post-crisis unless there are specific concerns.
B. Cold compresses can constrict blood vessels and worsen sickling; heat is usually recommended for pain relief in sickle cell crisis.
C. Restricting outdoor play is not necessary; children with sickle cell anemia should be encouraged to engage in regular activities within their limits.
D. Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.
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