The caregiver of a toddler is concerned about the frequency of ear infections and states, "The pediatrician said my child's ear tubes are small and short. What can I do about this?" Which action should the nurse take?
Refer the caregiver to an audiologist.
Explain to the caregiver this a normal finding.
Discuss the importance of prophylactic antibiotics.
Schedule the toddler for a tympanostomy procedure.
The Correct Answer is B
A. Refer the caregiver to an audiologist: Referral to an audiologist is indicated if there are concerns about hearing loss, not for normal anatomical variations of the eustachian tubes.
B. Explain to the caregiver this is a normal finding: In toddlers, the eustachian tubes are naturally shorter and more horizontal, which predisposes them to ear infections. Educating the caregiver about this normal anatomy helps them understand the cause without unnecessary concern.
C. Discuss the importance of prophylactic antibiotics: Routine prophylactic antibiotics are not recommended for preventing recurrent ear infections due to normal eustachian tube anatomy, as overuse can lead to resistance.
D. Schedule the toddler for a tympanostomy procedure: Tympanostomy tubes are only considered for children with recurrent or persistent otitis media with effusion causing hearing loss or complications, not for normal anatomical predisposition alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["83"]
Explanation
Calculation:
- Convert the total infusion time from hours to minutes.
Total time (min) = 2hours×60minutes/hour
= 120minutes.
- Calculate the infusion rate in drops per minute (gtt/min).
Total volume: 500mL
Drop factor: 20gtt/mL
Total time: 120min
Rate(gtt/min) = (TotalVolume(mL) × DropFactor(gtt/mL))/ TotalTime(min)
= (500mL × 20gtt/mL)/ 120min
= 10,000/ 120
=83.333...gtt/min
- Round the answer to the nearest whole number.
= 83gtt/min.
Correct Answer is D
Explanation
A. Recommend that he avoid fast food restaurants until he is familiar with his prescribed diet: Restricting social activities can lead to feelings of isolation and negatively affect adherence. It does not teach the adolescent practical skills for managing diabetes in real-life situations.
B. Encourage him to find activities to do with his friends that do not involve eating: While alternative activities are beneficial, avoiding meals with friends is not realistic for a teen. The goal is to promote self-management skills, not complete avoidance of social situations.
C. Advise him to take his own food with him when going to fast food restaurants with his friends: Bringing food may help in some situations, but it does not encourage the adolescent to make informed choices or learn how to navigate typical social eating environments.
D. Assist him in identifying popular fast foods that are within his meal plan for diabetes: Teaching the teen how to select appropriate options from common fast food menus empowers him to adhere to his diet while maintaining social interactions. This approach promotes self-management, independence, and realistic coping strategies.
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