A pediatric nurse is assessing a child with otitis media that has frequent ear problems. The nurse recognizes that which of the following risk factors are associated with otitis media?

Using cotton tipped swaps

Frequent viral infections

Playing in, the pool

Cleaning the ears with vinegar

Answer and Explanation

The Correct Answer is A

A.   Using cotton-tipped swabs can push earwax deeper into the ear canal, increasing the risk of infection and otitis media.
B.   Frequent viral infections may contribute to upper respiratory issues, but they are not the primary risk factor for otitis media.
C.   Playing in the pool is a potential risk for outer ear infections, not otitis media.
D.   Cleaning the ears with vinegar is not associated with an increased risk of otitis media.

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Correct Answer is A

Explanation

A. Allowing the child to make decisions about their care helps foster autonomy, which is important in the stage of development described by Erikson for children at this age.
B. While a structured routine is helpful, fostering a sense of independence and decision-making is key to promoting development at this stage.
C. Expressing feelings through creative activities is beneficial but does not address the developmental need for independence and autonomy.
D. Engaging with other children is important for social development, but allowing the child to have some control over their care is essential for psychosocial growth.

A. "My child fell off the swing at the playground but did not cry or complain of pain." B. "My child has been experiencing occasional nightmares and has trouble falling asleep." C. "My child has been having a low-grade fever for the past day." D. "My child has started a new hobby of painting and spends a lot of time drawing."

Correct Answer is A

Explanation

A. A child falling from a swing and not crying or complaining of pain could be a sign of an underlying injury or a serious condition like a head injury or internal bleeding. Immediate evaluation is needed.
B. Occasional nightmares and trouble falling asleep are common in young children and are typically not
a cause for concern unless they are persistent or interfere with the child’s daily functioning.
C. A low-grade fever for a day is common and might be a mild viral illness, but should be monitored to see if it resolves or worsens.
D. Engaging in a new hobby like painting is a positive sign of the child’s social and emotional
development, not a cause for concern.

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A pediatric nurse is assessing a child with otitis media that has frequent ear problems. The nurse recognizes that which of the following risk factors are associated with otitis media?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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