The nurse is providing discharge teaching to the parent of a 10-month-old who had tympanostomy tubes (PE tubes) placed. What statement(s) indicate understanding? (Select all that apply).
"It is important to continue to keep my baby's immunizations current."
"I may give my baby a bottle of formula in bed at nap-time for comfort."
"Immediately return to the emergency department if a tube ever falls out."
Report any incidents of purulent drainage to the health care provider."
"I can save the leftover antibiotic to use whenever the tubes are draining."
Correct Answer : A,D
A. Keeping immunizations up to date, especially pneumococcal and influenza vaccines, helps prevent recurrent ear infections that can lead to complications.
B. Bottles in bed increase the risk of otitis media due to pooling of formula in the nasopharynx and eustachian tube, and should be avoided.
C. Tubes are expected to fall out spontaneously within 6–12 months; this is not an emergency. Parents should simply notify the provider at the next follow-up.
D. Purulent drainage may indicate an infection and should be reported promptly to the health care provider for evaluation and possible treatment.
E. Leftover antibiotics should never be saved or reused without medical direction, as improper use can lead to resistance or ineffective treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Treating infected pets is important in other fungal infections like tinea corporis (ringworm), but not specifically for tinea pedis (athlete’s foot), which is usually contracted from damp surfaces.
B. Moist, warm compresses create an environment that promotes fungal growth and would worsen the infection.
C. Selenium sulfide shampoo is used for tinea capitis (fungal infection of the scalp), not for tinea pedis.
D. Tinea pedis is best managed with topical antifungal creams or powders, such as clotrimazole or terbinafine. These reduce fungal growth, relieve itching, and promote healing.
Correct Answer is A
Explanation
A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.
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