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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
The nurse should consider the results of the whisper test when assessing a child with otitis media.
A whisper test helps to assess hearing acuity and can indicate if there is a hearing impairment in the child.
If the child does not respond appropriately to the whisper test, it could suggest hearing problems related to otitis media.
Choice B rationale:
Assessing the child's response to sounds is crucial in evaluating their hearing abilities.
Children with otitis media may have difficulty hearing soft sounds or may not respond appropriately to auditory stimuli.
This assessment finding can provide valuable information about the child's hearing status and potential issues related to otitis media.
Choice D rationale:
Considering the child's history of hearing problems is essential in understanding the overall context of their ear health.
A history of recurrent ear infections or hearing difficulties can indicate a chronic issue, such as otitis media, which the nurse needs to address and monitor closely.
Past hearing problems can influence the current assessment and guide appropriate interventions.
Choice C rationale:
Temperature measurement is not directly related to assessing a child with otitis media.
Otitis media primarily affects the middle ear, leading to symptoms such as ear pain, hearing loss, and sometimes drainage from the ear.
Monitoring the child's temperature is important for assessing fever, which could be a sign of infection, but it is not specific to otitis media assessment.
Choice E rationale:
Lip reading skills are not typically assessed in the context of otitis media.
Otitis media primarily affects the auditory system, leading to hearing difficulties.
While lip reading skills might be relevant for individuals with profound hearing loss, it is not a standard assessment for children with otitis media, especially during a comprehensive assessment.
Correct Answer is C
Explanation
Choice A rationale:
The child reporting severe, throbbing ear pain is more indicative of acute otitis media (AOM) rather than otitis media with effusion (OME).
Severe pain is a common symptom of an active infection in the middle ear.
Choice B rationale:
Pus observed draining from the ear canal is a sign of acute otitis media (AOM).
Drainage indicates a ruptured eardrum, allowing the infected fluid to escape, relieving pressure and pain.
Choice C rationale:
Hearing loss that is mild to moderate is characteristic of otitis media with effusion (OME).
OME occurs when fluid remains trapped in the middle ear after the infection has resolved.
The presence of fluid can affect hearing, especially at lower frequencies, leading to mild to moderate hearing loss.
Choice D rationale:
The eardrum appearing red and bulging is a typical finding in acute otitis media (AOM), not otitis media with effusion (OME).
In AOM, the eardrum becomes red due to inflammation and bulges due to increased pressure from fluid buildup.
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