A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.
An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

Choice A rationale:
Fever as high as 40° C (104° F). Fever is not typically a common sign or symptom of chronic otitis media with effusion (OME). Chronic OME is characterized by the presence of fluid in the middle ear without signs of acute infection. While fever might occur in acute otitis media, it is not a typical feature of chronic OME.
Choice B rationale:
Severe pain in the ear. Severe pain in the ear is more commonly associated with acute otitis media rather than chronic otitis media with effusion. Chronic OME usually presents with a sensation of fullness or hearing loss in the affected ear due to the accumulation of fluid in the middle ear, but it does not cause severe ear pain.
Choice C rationale:
Nausea and vomiting. Nausea and vomiting are not typical signs or symptoms of chronic otitis media with effusion. These symptoms are more likely to occur in conditions affecting the inner ear or vestibular system, not in chronic OME.
Choice D rationale:
A feeling of fullness in the ear. A feeling of fullness in the ear is a common sign of chronic otitis media with effusion. The accumulation of fluid in the middle ear can cause a sense of fullness or pressure in the affected ear. This sensation might be accompanied by mild hearing loss.

Choice A rationale:

It is a belief common at this age. Rationale: The child's belief that she has cancer because God is punishing her for "being bad" and her fear of going to hell if she dies is consistent with magical thinking, which is common in children around the age of 8. Children at this age often have difficulty understanding cause and effect relationships, leading to magical or illogical thinking patterns. It is essential for the nurse to recognize this developmental aspect and respond empathetically and supportively.

Choice B rationale:

Choice C rationale:

The belief is suggestive of excessive family pressure. Rationale: There is no evidence in the scenario to suggest that the child's belief is related to family pressure. The child's statements are more consistent with age-appropriate magical thinking and fear related to concepts of punishment and the afterlife.

Choice D rationale:

The statement suggests a failed attempt to develop a conscience. Rationale: The child's belief does not indicate a failed attempt to develop a conscience. Instead, it reflects a typical developmental stage where children often have magical thoughts and fears. This stage is temporary and part of normal cognitive development.