A nurse is caring for a child who has otitis media.
Which of the following assessment findings should the nurse expect?

Tugging on the affected ear lobe.

Erythema and edema of the affected ear.

Pain when manipulating the affected ear lobe.

Clear drainage from the affected ear.

Answer and Explanation

The Correct Answer is A

The correct answer is A. Tugging on the affected ear lobe.

Choice A rationale

Tugging on the affected ear lobe is a common sign of otitis media in children. This behavior is often observed because the child is experiencing discomfort or pain in the ear, and tugging or pulling on the ear lobe is a way to express or alleviate that discomfort.

Choice B rationale

Erythema and edema of the affected ear are not typical findings in otitis media. These symptoms are more commonly associated with external ear infections, such as otitis externa.

Choice C rationale

Pain when manipulating the affected ear lobe is more indicative of otitis externa rather than otitis media. Otitis media involves the middle ear, and manipulation of the ear lobe does not typically cause pain.

Choice D rationale

Clear drainage from the affected ear is not a typical finding in otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a more severe infection or a ruptured eardrum.

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Hirschsprung’s disease is characterized by inadequate motility of part of the intestine, resulting in a mechanical obstruction. This condition is caused by the absence of ganglion cells in the affected segment of the intestine, leading to a lack of peristalsis and subsequent obstruction.

Choice B rationale

Encopresis is a condition characterized by the repeated passage of feces into inappropriate places, such as clothing or the floor. It is not associated with inadequate motility of the intestine or mechanical obstruction.

Choice C rationale

Pyloric stenosis is a condition characterized by the narrowing of the pylorus, which leads to obstruction of the passage of food from the stomach to the small intestine. It is not associated with inadequate motility of the intestine.

Choice D rationale

Enterocolitis is an inflammation of the intestine and colon. It is not associated with inadequate motility of the intestine or mechanical obstruction.

A. Treat upper respiratory infections with over-the-counter medication. B. Ensure a consistent and daily intake of adequate fluids to prevent dehydration. C. Remind parents that the child should avoid immunizations to prevent the introduction of bacteria into the body. D. Suggest the child participate in sports activities without restriction.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale

Treating upper respiratory infections with over-the-counter medication is not recommended for children with sickle cell anemia. These children are at higher risk for infections and complications, and any signs of infection should be promptly evaluated by a healthcare provider.

Choice B rationale

Ensuring a consistent and daily intake of adequate fluids is crucial for preventing dehydration in children with sickle cell anemia. Dehydration can trigger a sickle cell crisis, leading to severe pain and other complications.

Choice C rationale

Avoiding immunizations is incorrect. Children with sickle cell anemia should receive all recommended vaccinations to prevent infections, which can be more severe in these children.

Choice D rationale

Suggesting that the child participate in sports activities without restriction is not advisable. Children with sickle cell anemia should avoid strenuous activities that can lead to dehydration and trigger a sickle cell crisis. .

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A nurse is caring for a child who has otitis media.Which of the following assessment findings should the nurse expect?

Nursing Test Bank

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Correct Answer is A

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Correct Answer is B

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A nurse is caring for a child who has otitis media.
Which of the following assessment findings should the nurse expect?