A nurse is caring for a toddler who has otitis media.
Which of the following assessment findings should the nurse expect?
Erythema and edema of the affected ear.
Pain when manipulating the affected ear lobe.
Tugging on the affected ear lobe.
Clear drainage from the affected ear.
The Correct Answer is C
Choice A rationale
Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.
Choice B rationale
Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.
Choice C rationale
Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.
Choice D rationale
Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5"]
Explanation
Step 1 is: Calculate the amount of diphenhydramine elixir needed per dose. 25 mg ÷ (12.5 mg ÷ 5 mL) = 10 mL The nurse should administer 10 mL per dose.
Correct Answer is ["C"]
Explanation
Choice A rationale
The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.
Choice B rationale
Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.
Choice C rationale
The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.
Choice D rationale
The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .
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