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. Administer the medications 5 minutes apart. B. Administer the medications by touching the tip of the dropper to the sclera of the eye. C. Hold pressure on the conjunctival sac for 2 minutes following application of drops. D. It is not necessary to remove contact lenses before administering medications.

Correct Answer is A

Explanation

Choice A rationale

Administering the medications 5 minutes apart ensures that each medication has enough time to be absorbed without interference from the other. This practice helps to maximize the effectiveness of both medications and reduces the risk of adverse interactions.

Choice B rationale

Touching the tip of the dropper to the sclera of the eye can introduce contaminants and increase the risk of infection. It is important to avoid contact between the dropper and the eye to maintain sterility.

Choice C rationale

Holding pressure on the conjunctival sac for 2 minutes is not necessary for the administration of timolol and pilocarpine eye drops. This practice is more commonly recommended for other types of eye medications to increase absorption.

Choice D rationale

Contact lenses should be removed before administering eye drops to prevent contamination and ensure proper absorption of the medication. Wearing contact lenses during administration can interfere with the effectiveness of the drops.

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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?

Nursing Test Bank

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

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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?