The nurse practitioner is re-evaluating a 4-year-old child who began amoxicillin for acute otitis media 3 days ago. The nurse practitioner should switch to another antimicrobial if.
the child complains of ear pain when the ear is examined.
the tympanic membrane remains red.
mobility of the tympanic membrane is detected during pneumatic otoscopy.
the child persists with temperature of 102°F.
The Correct Answer is D
Rationale:
A. Ear pain alone may persist during the first few days of effective antibiotic therapy and is not an immediate indication to switch antibiotics.
B. Persistent redness of the tympanic membrane can also remain for several days, even with effective treatment.
C. Mobility of the tympanic membrane during pneumatic otoscopy suggests that fluid is not under high pressure, which is not an indication to change therapy.
D. A persistent high fever (≥102°F) after 48–72 hours of antibiotic therapy may indicate treatment failure or infection with a resistant organism. In such cases, the nurse practitioner should consider switching to an alternative antimicrobial or further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Oral NSAIDs can be used for mild pain management in fractures and are commonly considered.
B. Opioids are appropriate for moderate to severe pain associated with open fractures.
C. Tetanus toxoid is important for prophylaxis in open fractures to prevent tetanus infection.
D. Muscle relaxants are the least likely pharmacologic consideration in the acute management of an open tibial fracture, as they do not address the primary issues of pain control, infection prevention, or tetanus prophylaxis.
Correct Answer is C
Explanation
Rationale:
A. Phimosis is the inability to retract the foreskin over the glans and does not involve abnormal placement of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, not the dorsal side.
C. Epispadias is a rare congenital anomaly in which the urethral opening is located on the dorsal (top) aspect of the penis. Early recognition is important for surgical planning and preventing urinary complications.
D. A hydrocele is a fluid-filled sac around the testicle and does not affect the location of the urethral meatus.
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