A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

Increased temperature.

Sudden pain relief.

Popping sensation when swallowing.

Green-blue discharge in the ear canal.

Answer and Explanation

The Correct Answer is D

Choice A reason: Increased temperature is a common symptom of many infections, including otitis media, but it does not specifically indicate a tympanic membrane rupture. Fever may accompany the infection but is not a definitive sign of membrane rupture.

Choice B reason: Sudden pain relief can be an indicator of a tympanic membrane rupture in otitis media. This occurs because the pressure built up in the middle ear is suddenly released when the membrane ruptures. However, it is not the only definitive sign.

Choice C reason: A popping sensation when swallowing is a symptom associated with eustachian tube dysfunction rather than a tympanic membrane rupture. It indicates that there is a change in the pressure within the middle ear but not necessarily a rupture.

Choice D reason: Green-blue discharge in the ear canal is a classic sign of a tympanic membrane rupture. This discharge is usually pus mixed with blood from the middle ear and indicates that the membrane has ruptured, allowing the fluid to drain out. This finding is definitive and requires medical attention.

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Correct Answer is B

Explanation

Choice A reason: Skipping a weight check post-dialysis is not recommended. Monitoring weight is crucial to assess fluid balance and effectiveness of dialysis.

Choice B reason: Warming the dialysate solution before instillation is important to prevent discomfort and cramping during the dialysis process. This ensures the solution is at body temperature.

Choice C reason: Packing the catheter exit site with gauze is not recommended. The site should be kept clean and dry, with proper sterile dressing.

Choice D reason: Avoiding foods high in potassium is more relevant for clients on hemodialysis rather than peritoneal dialysis. Clients on peritoneal dialysis have fewer dietary restrictions regarding potassium.

A. Sodium bicarbonate B. Atropine C. Magnesium D. Amiodarone

Correct Answer is B

Explanation

Choice A reason: Sodium bicarbonate is used to treat metabolic acidosis and is not indicated for symptomatic bradycardia.

Choice B reason: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the vagus nerve's effects on the heart, increasing heart rate. It is commonly used in emergency settings to manage bradycardia until a more definitive treatment, such as pacemaker insertion, can be provided.

Choice C reason: Magnesium is typically used to treat torsades de pointes, a specific type of ventricular tachycardia, and is not indicated for symptomatic bradycardia.

Choice D reason: Amiodarone is an antiarrhythmic medication used to manage various types of arrhythmias, including ventricular tachycardia and fibrillation, but it is not indicated for symptomatic bradycardia.

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A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

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