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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Congestive heart failure can lead to prerenal injury due to decreased renal perfusion, but it is not a direct cause of intrarenal injury.
Choice B reason: Vancomycin is a nephrotoxic medication that can cause intrarenal injury. The drug can directly damage the renal tubules, leading to acute kidney injury.
Choice C reason: Glomerulonephritis involves inflammation of the glomeruli, which is a direct cause of intrarenal injury. This condition affects the kidney's filtering units, leading to impaired renal function.
Choice D reason: Bladder cancer is more associated with postrenal injury due to obstruction of urine flow, rather than intrarenal injury.
Choice E reason: A traumatic injury directly onto the kidney can cause damage to the renal tissue, leading to intrarenal injury. This type of injury affects the kidney itself and can result in acute kidney injury.
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