A nurse is providing teaching to the parent of a child undergoing tympanostomy tube insertion.
Which of the following statements should the nurse include?
“If your child gets water in her ears it will not cause problems.”.
“The tubes will need to be removed every night before bed.”.
“The doctor will replace the tubes every 2 years.”.
“The tubes will fall out on their own, usually.”. . .
The Correct Answer is D
Choice A rationale
This statement is incorrect. While the tubes are designed to allow air to enter the middle ear and prevent fluid buildup, water can still enter through the tubes and potentially cause infections or other complications. Therefore, it is important to take precautions to keep water out of the ears, especially during activities like swimming or bathing.
Choice B rationale
This statement is incorrect. Tympanostomy tubes are not designed to be removed every night. They are small tubes inserted into the eardrum to allow air to enter the middle ear and prevent fluid buildup. They remain in place until they naturally fall out on their own, which typically happens within 6 to 12 months.
Choice C rationale
This statement is incorrect. The tubes do not need to be replaced every 2 years. Tympanostomy tubes usually fall out on their own within 6 to 12 months. If they do not fall out naturally, a healthcare provider may need to remove them. However, routine replacement every 2 years is not necessary.
Choice D rationale
This statement is correct. Tympanostomy tubes are designed to fall out on their own, usually within 6 to 12 months after insertion. This natural process allows the eardrum to heal without the need for additional surgical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Allowing the client to ambulate one day after a detached retinal repair is not recommended. Ambulation can increase intraocular pressure and disrupt the healing process of the retina. The client should be advised to limit physical activity to prevent any strain on the eye.
Choice B rationale
Removing the eye patch during the day is not advisable as it can expose the eye to potential injury or infection. The eye patch helps protect the eye and maintain the correct position for healing. It should be worn as directed by the healthcare provider.
Choice C rationale
Encouraging coughing and deep-breathing exercises is not appropriate for a client who has undergone retinal repair. These activities can increase intraocular pressure and risk detachment of the retina. The client should avoid activities that cause strain or pressure on the eyes.
Choice D rationale
Avoiding reading and writing is crucial for a client one day postoperative following a detached retinal repair. These activities can cause rapid eye movements and strain, which can interfere with the healing process and reattachment of the retina. The client should be advised to rest their eyes and avoid any activities that require intense focus or eye movement.
Correct Answer is B
Explanation
Choice A rationale
Electrical cords placed along the walls are generally not a safety risk as long as they are secured and not in the walking path. This placement can actually reduce tripping hazards.
Choice B rationale
Scatter rugs are a significant safety risk for older adults with decreased vision. They can easily cause tripping and falls, which can lead to serious injuries.
Choice C rationale
Handrails in the bathroom are a safety feature that helps prevent falls and provides support for individuals with decreased vision or mobility issues.
Choice D rationale
Using a microwave for cooking is generally safe for older adults with decreased vision as it reduces the risk of burns and accidents associated with stovetop cooking.
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