A nurse is caring for a 3-year-old child with sudden onset of fever, crying and rubbing of the left ear. The nurse should suspect that the child has what type of problem?
Otitis Externa
Otitis Media
A viral sore throat
Sinus infection
The Correct Answer is B
A. Otitis externa, or swimmer's ear, is an infection of the outer ear canal, typically caused by water exposure, and usually presents with itching, discomfort, or drainage rather than fever and ear pain.
B. Otitis media, an infection of the middle ear, is common in children and often presents with symptoms such as fever, ear pain, and irritability. The child’s behavior of crying and rubbing the ear is consistent with this condition.
C. A viral sore throat usually presents with throat pain, fever, and sometimes coughing or congestion, but ear pain is less commonly associated.
D. A sinus infection may cause facial pain, nasal congestion, and discharge but is less likely to present with ear pain and rubbing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While taking the child to the provider’s office may be necessary, contacting poison control is the most
immediate and appropriate action when a child ingests a toxic substance.
B. Syrup of ipecac is no longer recommended for use in poisoning cases due to potential complications and ineffectiveness.
C. Poison control should be contacted immediately as they can provide specific instructions on how to manage the situation based on the substance ingested.
D. A high carbohydrate meal is not an appropriate intervention in the case of poisoning, and it may delay treatment or worsen symptoms.
Correct Answer is A
Explanation
A. Allowing the child to make decisions about their care helps foster autonomy, which is important in the stage of development described by Erikson for children at this age.
B. While a structured routine is helpful, fostering a sense of independence and decision-making is key to promoting development at this stage.
C. Expressing feelings through creative activities is beneficial but does not address the developmental need for independence and autonomy.
D. Engaging with other children is important for social development, but allowing the child to have some control over their care is essential for psychosocial growth.
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