A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?

Assessing the child's pain level

Assessing the child's vision

Assessing the child's lung sounds

Assessing the child's blood pressure

Answer and Explanation

The Correct Answer is A

A.   Pain is a common and distressing symptom in children with otitis media. Assessing and managing the
child’s pain should be a priority.
B.   While assessing vision can be important in some conditions, it is not a priority for recurrent otitis media.
C.   Assessing lung sounds is important for respiratory assessments but not as relevant for otitis media.
D.   Blood pressure assessment is not specifically indicated for otitis media unless there are other concerns.

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Correct Answer is ["C","D"]

Explanation

A. Allowing the child to rub their eyes is not recommended as it can spread the infection and increase irritation. The child should be instructed not to rub their eyes.
B. Using eye drops from a previous infection is not advisable because the medication may be outdated or ineffective. A new prescription should be obtained for the current infection.
C. Applying warm compresses to the affected eye can help alleviate discomfort and promote healing by loosening secretions. This is a helpful intervention.
D. Practicing good hand hygiene before and after touching the affected eye is essential to prevent the spread of the infection and to avoid contaminating other areas.
E. Sharing towels and washcloths can spread the infection to other family members, so these items should not be shared until the infection has resolved.

A. Tracheoesophageal fistula B. Hypertrophic pyloric stenosis C. Intussusception D. Inguinal hernia

Correct Answer is C

Explanation

A. Tracheoesophageal fistula is a congenital anomaly that affects the esophagus and is not associated with abdominal masses or blood and mucus in the stool.
B. Hypertrophic pyloric stenosis typically causes projectile vomiting and failure to thrive, but it does not typically present with an abdominal mass or blood in the stool.
C. Intussusception occurs when part of the intestine telescopes into another part, causing a mass, abdominal pain, and sometimes blood and mucus in the stools, which is consistent with the signs described.
D. Inguinal hernia is a protrusion of abdominal contents into the groin area, not typically associated with abdominal masses in the upper quadrant or blood in the stool.

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A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?

Nursing Test Bank

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