A client's child is experiencing symptoms of otitis media, and they're concerned about hearing loss.
What clinical manifestations are indicative of hearing loss in children with otitis media? Choose the appropriate options:.
"Difficulty locating sounds or following directions.”..
"Ringing or buzzing sound in the ear.”..
"Severe, pulsating ear pain.”..
"Vertigo and nystagmus.”..
"Inconsolable crying due to discomfort.”..
Correct Answer : A
"Difficulty locating sounds or following directions.”.
Choice A rationale:
Difficulty locating sounds or following directions is a common sign of hearing loss in children with otitis media.
Hearing loss can affect a child's ability to hear and process sounds, leading to problems in locating the source of sounds or following instructions.
This manifestation is indicative of conductive hearing loss, which is commonly associated with otitis media.
Children may have trouble understanding speech, especially in noisy environments.
Choice B rationale:
Ringing or buzzing sound in the ear, also known as tinnitus, is not a typical manifestation of hearing loss in otitis media.
Tinnitus can occur due to various reasons, but it is not a specific indicator of hearing loss associated with otitis media.
Choice C rationale:
Severe, pulsating ear pain is a symptom of acute otitis media, but it is not directly indicative of hearing loss.
Ear pain is caused by the buildup of fluid and pressure in the middle ear, leading to discomfort and pain.
However, it does not necessarily mean the child has hearing loss.
Choice D rationale:
Vertigo and nystagmus are symptoms associated with inner ear disorders, such as vestibular labyrinthitis or Meniere's disease, but they are not typical manifestations of hearing loss in otitis media.
These symptoms involve problems with balance and coordination and are not directly related to hearing loss.
Choice E rationale:
Inconsolable crying due to discomfort is a general symptom that can occur in children with various illnesses, including otitis media.
While it indicates the child is in pain or discomfort, it is not a specific sign of hearing loss.
Children may cry due to ear pain, but this symptom alone does not confirm hearing loss.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Migraines and tension headaches are not mentioned as complications of otitis media in the text.
Otitis media primarily affects the middle ear and is associated with complications related to the ear and hearing.
Choice B rationale:
Chronic back pain and joint issues are unrelated to otitis media.
The complications of otitis media are primarily associated with the ear, hearing, and speech.
Choice C rationale:
Speech delay and hearing loss are mentioned as potential consequences of otitis media.
Otitis media can lead to hearing impairment, especially in children, which can subsequently cause speech delays.
This complication occurs due to the accumulation of fluid in the middle ear, which impairs the normal conduction of sound.
Choice D rationale:
Skin rashes and allergic reactions are not mentioned as consequences of otitis media.
Complications of otitis media primarily revolve around the auditory system and related functions.
Correct Answer is B
Explanation
Choice A rationale:
Otitis media is not mainly caused by the presence of bacteria in the middle ear.
While bacterial infections can contribute to otitis media, it is not the primary cause as per the information provided in the text.
Choice B rationale:
Eustachian tube dysfunction is indeed the primary cause of otitis media.
The Eustachian tube connects the middle ear to the back of the throat.
When this tube is not functioning correctly, it can lead to the accumulation of fluid in the middle ear, providing an ideal environment for bacterial growth and infection, which results in otitis media.
Choice C rationale:
Otitis media is not primarily caused by allergic reactions.
While allergies can lead to Eustachian tube dysfunction, it is not the main cause of otitis media.
Choice D rationale:
The statement that "The risk factors for otitis media are not well-defined" is incorrect.
The risk factors for otitis media are well-established, including factors like age (more common in children), exposure to smoke, attending daycare, and Eustachian tube abnormalities.
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