A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify contributing factors, the nurse should ask the parents which of the following questions?
"Does anyone smoke in the same house as your daughter?"
"Has your daughter had a lot of earwax in her ears over the last month?"
"Has your daughter been king glass of water day?"
"Does your daughter get water in her ears when you bath her?
The Correct Answer is A
A. Exposure to environmental tobacco smoke (passive smoking) is a known risk factor for otitis media, as it can irritate the upper respiratory tract and increase susceptibility to respiratory infections, including those affecting the ears.
B. Excessive earwax buildup can sometimes contribute to ear discomfort or hearing problems but it is not a common cause of persistent otitis media. However, it's still important for the nurse to assess for any earwax issues as part of the overall assessment of the child's ear health.
C. Drinking water is generally beneficial for overall health but is not directly linked to otitis media unless there are specific concerns about hydration status or exposure to contaminated water sources.
D. Water entering the ears during bathing is not generally considered a significant risk factor for otitis media, but it can be associated with otitis externa, which is an infection of the outer ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should ensure that the rope knots are positioned away from the pulleys to prevent interference with the traction mechanism. Proper alignment of the rope and pulleys ensures smooth traction application and prevents accidental slippage or dislodgment of the traction weights.
A. Buck's traction typically does not involve pin sites. It involves the application of traction to the affected limb using a boot or traction tape. Antibiotic ointment is not typically applied to the skin under Buck's traction unless there are specific wounds or abrasions that require treatment.
C. Ensuring the child's feet are against the footboard is not applicable to Buck's traction, which does not require the feet to be against a footboard.
D. There is typically no need to reduce a child's fluid intake solely because they are in Buck's traction for Legg-Calve-Perthes disease. Adequate hydration is essential for overall health and healing, and fluid restriction is not indicated unless there are specific medical reasons for doing so.
Correct Answer is B
Explanation
B. The narrowing of the aorta results in increased resistance to blood flow beyond the constriction, leading to decreased blood pressure in the lower body, including the legs. As a result, the blood pressure in the arms may be significantly higher than in the legs, creating a notable blood pressure gradient between the upper and lower extremities.
A. Pulmonary edema is not a typical manifestation of coarctation of the aorta. Coarctation of the aorta involves a narrowing of the aortic arch, typically occurring after the branching of the vessels supplying the upper body.
C. Severe cyanosis is not typically associated with coarctation of the aorta. Cyanosis, a bluish discoloration of the skin and mucous membranes due to inadequate oxygenation of the blood, is more commonly seen in conditions affecting pulmonary circulation or oxygenation of the blood, such as congenital heart defects involving right-to-left shunting of blood.
D. A machine-like murmur is not a typical finding in coarctation of the aorta. The characteristic murmur associated with coarctation of the aorta is a systolic ejection murmur heard best over the back or left axilla.
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