After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?
Infants with congenital deformities have an increased risk for ear infections.
Ear infections typically increase as the child gets older.
The shorter and wider eustachian tubes of an infant increase the risk.
Adenoids shrink as the child grows, allowing more bacteria to enter.
The Correct Answer is C
A. Infants with congenital deformities have an increased risk for ear infections: Certain congenital anomalies, such as cleft palate or Down syndrome, can predispose children to recurrent otitis media due to structural or functional impairments of the eustachian tube. While this is clinically relevant, it applies to a specific subset of infants rather than the general mechanism of infection in all children.
B. Ear infections typically increase as the child gets older: The incidence of otitis media actually decreases with age as the child’s immune system matures and the eustachian tube elongates and becomes more vertical, improving drainage. Older children generally have fewer episodes of middle ear infections compared with infants and toddlers.
C. The shorter and wider eustachian tubes of an infant increase the risk: Infants have eustachian tubes that are shorter, wider, and more horizontal than in older children and adults, which allows bacteria and secretions from the nasopharynx to enter the middle ear more easily. This anatomical factor, combined with immature immune responses, significantly contributes to the high incidence of otitis media in infants.
D. Adenoids shrink as the child grows, allowing more bacteria to enter: Adenoids actually tend to hypertrophy in early childhood and regress after age 5–7 years. Enlarged adenoids can contribute to eustachian tube obstruction and recurrent infections, so their shrinkage does not increase bacterial entry; instead, adenoid regression typically reduces infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Measles: Measles is a highly contagious viral infection transmitted via airborne droplets. Implementing airborne precautions, including placement in a negative-pressure room and use of an N95 respirator, is essential to prevent spread to other patients and healthcare personnel.
B. Streptococcus group A: Group A Streptococcus infections, such as strep throat, are transmitted primarily through respiratory droplets, not airborne particles. Standard and droplet precautions are typically sufficient.
C. Rubella: Rubella is transmitted via droplets, requiring droplet precautions rather than full airborne precautions. Airborne measures are not necessary unless there is uncertainty about transmission mode.
D. Scarlet fever: Scarlet fever is caused by group A Streptococcus and is spread through respiratory droplets. Droplet precautions, rather than airborne precautions, are adequate for infection control in hospitalized children.
Correct Answer is C
Explanation
A. A family consists of parents and their offspring living together: his definition describes the traditional nuclear family, which was once considered the societal standard. However, in contemporary nursing and social work, this view is seen as too narrow because it excludes multi-generational households, single-parent homes, and foster families, failing to account for the diverse structures that provide support to children today.
B. A family is two or more genetically related persons living together with separate roles: This perspective relies strictly on biological ties and traditional functionalism, which does not reflect the reality of many modern households. By focusing only on genetics, this definition ignores adoptive families, all of whom play a critical role in the health of the individuals within the unit.
C. A family is whatever the child and family say it is: This is the most inclusive definition in modern healthcare, emphasizing a self-defined, patient-centered approach. It acknowledges that the support systems and emotional bonds that define a "family" are subjective; by accepting the client's own definition, the nurse can better identify the key individuals who will be involved in care and decision-making.
D. A family is two or more people related or unrelated who are living together: While this definition is broader than biological or nuclear models, it focuses primarily on cohabitation as the defining characteristic. Many family members provide significant emotional, financial, and healthcare support even if they do not reside in the same physical household.
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