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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Scales, redness, and flakes that fall off easily are more consistent with seborrheic dermatitis (dandruff) rather than pediculosis capitis.
B. Patches of redness and alopecia associated with animal contact suggest tinea capitis (fungal infection), not lice.
C. Linear burrows with intense nighttime itching are characteristic of scabies, caused by mites under the skin, not head lice.
D. Tiny, white, clear, or brown oval nits (lice eggs) that adhere firmly to the hair shaft are the hallmark finding of pediculosis capitis, confirming the infestation.
Correct Answer is D
Explanation
A. Muscle relaxants (e.g., baclofen) are used to control spasticity in MS, but increasing the dose does not target fatigue. In fact, higher doses can increase drowsiness and worsen fatigue.
B. Heat can exacerbate symptoms in MS (Uhthoff’s phenomenon), including fatigue, muscle weakness, and visual disturbances. Hot baths should be avoided.
C. Clients with MS often benefit from energy conservation techniques, which may include short, planned rest periods or naps. Avoiding all naps can worsen exhaustion.
D. Occupational and physical therapy teach clients energy conservation, pacing activities, and safe exercise routines, which are highly effective strategies for reducing fatigue in MS.
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