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 C

Explanation

A. While some form of restraint may be necessary, explaining the procedure first is important for reducing anxiety and helping the toddler understand what is going to happen.
B. Gathering supplies is essential but should come after preparing the child and ensuring they are mentally ready.
C. Explaining the procedure to the toddler helps ease anxiety and ensures they are informed, even at a young age.
D. Routine vital sign assessment is not necessary for a simple IM injection unless the child has a specific medical condition.

A. Thickened the formula with cereal. B. Infant should be laying back C. Position the infant in an upright position during feedings D. Nasogastric tube may be needed.

Correct Answer is C

Explanation

A. Thickening the formula with cereal is generally not recommended for infants with a cleft lip and palate as it can cause additional feeding difficulties.
B. Positioning the infant laying back can increase the risk of aspiration and is not recommended. An upright position helps reduce the risk of aspiration.
C. Positioning the infant upright during feedings helps reduce the risk of aspiration and facilitates better feeding for infants with cleft lip and palate.
D. A nasogastric tube may be needed if the infant is unable to feed orally due to the severity of the cleft, but this is not a routine part of feeding education.

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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

A nurse is preparing to administer an intramuscular (IM) injection to a toddler. Which intervention should the nurse implement first?

Correct Answer is C

Explanation

A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?

Correct Answer is C

Explanation

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