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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
"The pain gets worse when I lie down.”.
Choice A rationale:
"I feel a sharp pain in my ear sometimes.”.
This statement suggests intermittent ear pain, which can occur in otitis media when there is a sudden change in pressure in the middle ear.
It is a possible symptom, but it is not specific to otitis media as other ear conditions can also cause sharp ear pain.
Choice B rationale:
"My ear hurts all the time.”.
Constant ear pain is a common symptom of acute otitis media.
The pain is caused by inflammation and pressure in the middle ear.
This symptom is indicative of otitis media but does not provide specific information about the pain worsening when lying down, which is a crucial aspect to assess.
Choice C rationale:
"The pain gets worse when I lie down.”.
This statement is indicative of otitis media.
When the child lies down, the fluid in the middle ear can put additional pressure on the eardrum, causing increased pain.
This worsening of pain in specific positions helps differentiate otitis media from other ear conditions.
Choice D rationale:
"I have no pain in my ear.”.
Absence of ear pain is not consistent with otitis media.
Otitis media is characterized by ear pain, especially in acute cases when there is inflammation and pressure in the middle ear.
Lack of ear pain suggests the absence of this condition.
Correct Answer is A
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.