A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?

Educate the family about antibiotic administration

Administer analgesic medication

Apply an ice pack to the affected ear

Provide diversional activity for the child

Answer and Explanation

The Correct Answer is B

A. Educating the family about antibiotics is important but not the immediate priority for symptom management.

B. Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.

C. Applying an ice pack can provide some comfort but does not directly address the child's pain as effectively as medication.

D. Providing diversional activities may help occupy the child but is not a direct intervention for the pain associated with acute otitis media.

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Correct Answer is C

Explanation

A. While administering diphenhydramine may be appropriate for allergic reactions, the priority action is to first stop the transfusion to assess and manage the situation appropriately.

B. Checking the child's apical pulse may provide additional information, but it is not the immediate priority in response to trouble breathing.

C. Stopping the transfusion is the critical first step in managing a suspected transfusion reaction, particularly since the child is exhibiting respiratory distress and a fever, which could indicate an acute hemolytic or allergic reaction.

D. Collecting a urine sample may be indicated later, particularly if a hemolytic reaction is suspected, but it is not an immediate priority over stopping the transfusion and ensuring patient safety.

A. Offer the child guitar chicken broth B. Initiate oral rehydration therapy C. Start hypertonic solution D. Keep NPO until the diarrhea subsides

Correct Answer is B

Explanation

A. While clear chicken broth can provide some hydration, it does not contain the necessary electrolytes to replace losses effectively.

B. Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.

C. Starting a hypertonic solution is inappropriate and could lead to further dehydration or electrolyte imbalances.

D. Keeping the child NPO is not necessary; it is more important to maintain hydration and possibly offer oral rehydration solutions.

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A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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