A nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. The parent asks the nurse, "What should I do if the tubes fall out?" Which of the following responses should the nurse make?
"Gently put the tubes back into the child's ears."
"Bring the child to the emergency department immediately."
"Notify the provider that the tubes have fallen out."
"The tubes are sutured in place and must be surgically removed."
The Correct Answer is C
A. "Gently put the tubes back into the child's ears": This is not the correct response. Tympanoplasty tubes are not meant to be reinserted if they fall out. Attempting to reinsert them without proper medical training could cause injury or damage to the child's ears. Therefore, this response should be avoided.
B. "Bring the child to the emergency department immediately": While it's important for the parent to seek medical attention if the tubes fall out, it may not always necessitate a visit to the emergency department, especially if the child is not experiencing any other symptoms. This response might cause unnecessary panic for the parent and may not be the most appropriate course of action.
C. "Notify the provider that the tubes have fallen out": This is the correct response. If the tympanoplasty tubes fall out, the parent should notify the healthcare provider who performed the procedure. The provider can then assess the situation and determine the next steps, which may include scheduling a follow-up appointment to evaluate the child's ears.
D. "The tubes are sutured in place and must be surgically removed": This is incorrect. Tympanoplasty tubes are not sutured in place; they are typically designed to fall out on their own after a certain period of time. Additionally, removal of tympanoplasty tubes usually does not require another surgical procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Report of diplopia
Diplopia, or double vision, can be a symptom of increased intracranial pressure (ICP) due to its effects on cranial nerve function. Therefore, it is a manifestation that the nurse should recognize as indicating the presence of increased ICP.
B. Hyperactivity
Hyperactivity is not typically associated with increased ICP. Instead, manifestations of increased ICP often include altered level of consciousness, lethargy, or even coma.
C. Nuchal rigidity
Nuchal rigidity, or stiffness in the neck, is not a direct manifestation of increased ICP. It is more commonly associated with meningitis or other conditions affecting the meninges.
D. Report of sore throat
A sore throat is not typically associated with increased ICP unless it is related to complications such as pharyngeal injury or infection.
Correct Answer is B
Explanation
A. Decreased calories:
During illness, it's important to ensure adequate calorie intake to meet the body's increased energy demands for fighting off infection. Decreasing calories is not appropriate and can lead to hypoglycemia in a child with diabetes mellitus.
B. Increased fluids:
This is the correct option. During illness, the body's fluid requirements increase due to fever, sweating, and increased urination. Providing increased fluids helps prevent dehydration, which can exacerbate hyperglycemia. Parents should encourage the child to drink plenty of water or other sugar-free fluids to stay hydrated.
C. Blood glucose monitoring every 8 hr:
During illness, blood glucose levels may fluctuate more than usual due to changes in food intake, activity level, and the body's response to stress. Therefore, more frequent blood glucose monitoring is necessary, typically every 2-4 hours or as directed by the healthcare provider, rather than every 8 hours.
D. Urine testing for leukocytes:
Urine testing for leukocytes is not directly related to managing diabetes mellitus during illness. It may be done to assess for urinary tract infections, which can occur more frequently in individuals with diabetes, but it is not a routine part of diabetes management during illness.
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