A client is concerned about the risk factors for otitis media.
Which statement accurately describes one of the risk factors mentioned in the text for developing otitis media?
"Otitis media is more common in children over 6 years of age.”..
"Seasonal changes have no impact on the frequency of otitis media.”..
"Noncompliance with vaccinations is not associated with otitis media.”..
"Passive smoking can increase the risk of otitis media.”..
The Correct Answer is D
Choice A rationale:
Otitis media is more common in young children, especially those between 6 months and 3 years of age.
It is not more common in children over 6 years of age.
Choice B rationale:
Seasonal changes can indeed impact the frequency of otitis media.
During cold seasons, upper respiratory infections are more common, which can lead to otitis media.
Choice C rationale:
Noncompliance with vaccinations is associated with otitis media.
Proper vaccination can prevent certain infections that may lead to otitis media.
Choice D rationale:
Passive smoking can increase the risk of otitis media.
Exposure to secondhand smoke can cause irritation and inflammation in the Eustachian tubes, making individuals, especially children, more susceptible to ear infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Eustachian tube obstruction does lead to decreased pressure in the middle ear.
When the Eustachian tube is blocked or not functioning properly, it can create a vacuum in the middle ear, leading to negative pressure, which can pull fluid into the middle ear space.
Choice B rationale:
Effusion is indeed the fluid that fills the normally air-filled middle ear cavity in otitis media.
This fluid can accumulate due to Eustachian tube dysfunction or inflammation, leading to the characteristic symptoms of otitis media.
Choice C rationale:
Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are indeed common pathogens causing otitis media.
These bacteria can infect the middle ear and lead to the inflammation and fluid accumulation characteristic of otitis media.
Choice D rationale:
Otitis media does not result from the inflammation of the outer ear.
Otitis media specifically refers to inflammation and infection of the middle ear.
Choice E rationale:
The statement about the eardrum becoming red, swollen, and bulging due to the absence of effusion is incorrect.
The presence of effusion behind the eardrum can cause it to appear red, swollen, and bulging, not the absence of effusion.
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.
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