A nurse is caring for a toddler who has otitis media.
Which of the following assessment findings should the nurse expect?

Erythema and edema of the affected ear.

Pain when manipulating the affected ear lobe.

Tugging on the affected ear lobe.

Clear drainage from the affected ear.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.

Choice B rationale

Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.

Choice C rationale

Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.

Choice D rationale

Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.

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Correct Answer is ["C"]

Explanation

Choice A rationale

The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.

Choice B rationale

Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.

Choice C rationale

The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.

Choice D rationale

The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .

A. Which of the following instructions should the nurse provide? B. Apply the ointment in a thin line into the conjunctival sac. C. Ask the child to look down before applying the ointment. D. Use a sterile glove and applicator to apply the antibiotic ointment. E. Always wipe from the outer to the inner canthus when wiping away secretions.

Correct Answer is A

Explanation

Choice A rationale

Applying the ointment in a thin line into the conjunctival sac ensures that the medication is properly distributed across the surface of the eye, allowing for effective treatment of the bacterial conjunctivitis.

Choice B rationale

Asking the child to look down before applying the ointment is not necessary and may make the application process more difficult. The focus should be on ensuring the ointment is applied correctly.

Choice C rationale

Using a sterile glove and applicator is not required for applying ophthalmic ointment. Clean hands and proper technique are sufficient to ensure safe and effective application.

Choice D rationale

Wiping from the outer to the inner canthus is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent the spread of infection.

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A nurse is caring for a toddler who has otitis media. Which of the following assessment findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

Correct Answer is ["C"]

Explanation

A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment.

Correct Answer is A

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A nurse is caring for a toddler who has otitis media.
Which of the following assessment findings should the nurse expect?