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The nurse is caring for a child with chronic otitis media infections. Which prescription by the health care provider will the nurse anticipate?

A.

Monospot test

B.

MRI of the ear

C.

Lumbar puncture

D.

Audiology consult

Answer and Explanation

The Correct Answer is D

A. A Monospot test is used to detect infectious mononucleosis, which is unrelated to chronic ear infections.

B. MRI is generally reserved for evaluating structural abnormalities, tumors, or complications, not routine chronic otitis media.

C. Lumbar puncture is used to diagnose central nervous system infections or conditions like meningitis, not ear infections.

D. Chronic otitis media can lead to hearing loss or speech delays. An audiology consult is appropriate to assess the child’s hearing and determine if further intervention, such as hearing aids or surgical options, is needed.


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Related Questions

Correct Answer is C

Explanation

A. Renal calculi (kidney stones) can cause flank pain and hematuria, but this client’s systemic infection signs (fever, tachycardia, chills, elevated WBC) point toward a urinary tract infection progressing to pyelonephritis, not stones.

B. A CT scan might be used later to assess for obstruction or complications, but it is not the first step. Immediate diagnostic confirmation of infection is needed.

C. The client’s presentation strongly suggests acute pyelonephritis (upper urinary tract infection with systemic involvement). A urinalysis and urine culture are the priority initial diagnostic tests to confirm infection and guide treatment. This should be done before starting antibiotics whenever possible.

D. An EKG may be indicated in cases of electrolyte imbalance (e.g., hyperkalemia in renal failure), but this client’s electrolytes and creatinine are within range. It is not a priority at this time.

Correct Answer is A

Explanation

A. Stopping antibiotics when symptoms disappear is incorrect; clients must complete the entire prescribed course to prevent recurrence and antibiotic resistance. This statement shows a need for further teaching.
B. Resting and gradually resuming activities as tolerated is correct and promotes healing.
C. Applying warm compresses helps increase circulation, reduce discomfort, and promote healing.
D. Contacting the provider for pain not relieved by medication is correct, as it may indicate worsening infection or complications.

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