A toddler is diagnosed with acute otitis media following an upper respiratory tract infection. The practical nurse (PN) explains to the parent that the predisposition for otitis media in young children is related to which difference as compared to adults?
Most young children have poor immunity against ear infections.
The exposure to other children with upper respiratory infections is more frequent.
Eustachian tubes in young children are shorter and straighter than in the adult.
The inner ear offers little protection from infection.
The Correct Answer is C
A. Most young children have poor immunity against ear infections: Immunity develops over time, but this is not the main reason for increased risk.
B. The exposure to other children with URIs is more frequent: True, but not the primary anatomical reason.
C. Eustachian tubes in young children are shorter and straighter than in the adult: This allows pathogens to travel easily from nasopharynx to middle ear.
D. The inner ear offers little protection from infection: The middle, not inner ear, is affected in otitis media.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Assess for bilateral pedal pulses: Only checks circulation; neuro symptoms need more complete exam.
B. Contact HCP: Should be done after gathering full assessment data.
C. Complete a neurovascular assessment: Checks motor, sensory, and circulation to determine urgency.
D. Evaluate surgical site: Important, but neurological changes require full neurovascular check first.
Correct Answer is C
Explanation
A. Start at the most inflamed area to protect the tissue and promote healing:
Cleansing should progress from least contaminated to most contaminated area.
B. Start at the area with the most drainage to avoid infecting other areas:
This would spread bacteria to cleaner tissue.
C. Start at the drain site to avoid bringing skin bacteria toward the wound:
Drain site is most contaminated; clean outward to prevent contamination of wound.
D. Start at the clean area several inches away from the drain to avoid contaminating the drain:
Would push bacteria toward the more vulnerable drain site.
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