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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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