A client brings their child for evaluation, suspecting otitis media.
Which symptoms should the nurse inquire about in the child's history to assess for otitis media? Choose the appropriate options from the following:.
"History of frequent episodes of otitis media.”..
"Previous upper respiratory tract infections.”..
"Exposure to loud noise as a daily occurrence.”..
"A feeling of fullness or pressure in the ear.”..
"Immunization history of the child.”..
The Correct Answer is A
Choice A rationale:
A history of frequent episodes of otitis media is important to inquire about because recurrent ear infections are a common sign of otitis media.
Children who have experienced multiple episodes of otitis media are at a higher risk for developing the condition again.
This information helps the nurse assess the child's susceptibility to ear infections and guides further evaluation and treatment decisions.
Choice B rationale:
Previous upper respiratory tract infections are relevant to the child's overall health but are not specific symptoms of otitis media.
Otitis media can be a complication of upper respiratory infections, but the presence of previous infections alone does not confirm otitis media.
Choice C rationale:
Exposure to loud noise as a daily occurrence is not a symptom of otitis media.
Otitis media is an inflammation of the middle ear, commonly caused by bacterial or viral infections, and is not related to exposure to loud noises.
Choice D rationale:
A feeling of fullness or pressure in the ear can be associated with otitis media, but it is a nonspecific symptom that can occur in various ear conditions.
While it may raise suspicion, it is not a definitive sign of otitis media.
Choice E rationale:
Immunization history of the child is important for the child's overall health, but it is not a specific symptom of otitis media.
Immunizations do not directly influence the development or presence of otitis media.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Age alone is not a risk factor for otitis media.
However, certain age groups, such as young children, are more susceptible to ear infections due to their developing immune systems and shorter Eustachian tubes.
Choice B rationale:
Season is not a direct risk factor for otitis media.
While certain respiratory infections might be more common in specific seasons, otitis media itself is not strongly influenced by seasonal changes.
Choice C rationale:
Allergies can contribute to ear infections, but they are not the most closely associated risk factor mentioned in the context.
Allergies can lead to inflammation and fluid buildup in the middle ear, making individuals more prone to infections.
However, in the given options, day care attendance is a more specific risk factor related to exposure to infectious agents.
Choice D rationale:
Day care attendance is closely associated with an increased exposure to infectious agents, including the bacteria that can cause otitis media.
Children in day care settings are in close contact with others, facilitating the spread of infections.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Redness of the tympanic membrane can indicate inflammation, which is a common sign of acute otitis media (AOM).
Inflammation causes increased blood flow to the area, leading to redness and often pain.
Choice B rationale:
Bulging of the tympanic membrane occurs when there is increased pressure behind the eardrum, often due to fluid accumulation.
In the context of acute otitis media, this bulging is caused by the buildup of pus or other fluids in the middle ear.
Choice C rationale:
Purulence (pus) observed in the ear canal is a definitive sign of acute otitis media.
The presence of pus indicates an active infection within the middle ear.
Choice D rationale:
Orange discoloration of the tympanic membrane is not a typical finding in acute otitis media.
The color change could be due to various factors but is not specific to this condition.
Choice E rationale:
Decreased mobility of the tympanic membrane can occur due to the accumulation of fluid in the middle ear, leading to impaired movement.
This decreased mobility is often observed in acute otitis media and contributes to the diagnosis.
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