A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?
Increase in appetite
Tugging on the affected ear lobe
Erythema and edema of the affected auricle
Bluish-green discharge from the ear canal
The Correct Answer is B
A. Increase in appetite: Otitis media, an infection or inflammation of the middle ear, typically causes discomfort and pain in infants. As a result, they may experience a decrease in appetite rather than an increase.
B. Tugging on the affected ear lobe: Tugging or pulling on the affected ear lobe is a common sign of ear pain in infants with otitis media. It occurs because the pain from the middle ear extends to the outer ear canal.
C. Erythema and edema of the affected auricle: Otitis media primarily affects the middle ear, so erythema (redness) and edema (swelling) are not typically observed on the outer ear (auricle). Instead, these symptoms are more commonly seen in external ear infections, such as otitis externa.
D. Bluish-green discharge from the ear canal: Bluish-green discharge from the ear canal is not a typical finding in otitis media. It may suggest a secondary bacterial infection or another underlying condition, but it is not a characteristic feature of otitis media.
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Related Questions
Correct Answer is D
Explanation
A. Maculopapular lesions between fingers and toes:
This finding is not typically associated with atopic dermatitis. Maculopapular lesions between the fingers and toes are more commonly seen in conditions like scabies or fungal infections.
B. Inflamed area with white exudate:
This finding is also not characteristic of atopic dermatitis. An inflamed area with white exudate may indicate a bacterial infection rather than atopic dermatitis.
C. Nonpruritic erythematous papule:
Atopic dermatitis often presents with erythematous (red) papules (small raised bumps) that are pruritic (itchy). However, the presence of nonpruritic lesions is less typical of atopic dermatitis.
D. Rash with thick skin:
This finding is consistent with atopic dermatitis. Chronic scratching and rubbing of the affected areas can lead to thickening of the skin (lichenification) in individuals with atopic dermatitis.
Correct Answer is A
Explanation
To predict the expected weight of the 12-month-old boy, we can use the general guideline that a child's weight should triple from birth to 12 months.
Given that the boy weighed 8 lb 2 oz at birth, we can calculate the expected weight at 12 months by tripling this weight.
8 lb 2 oz = 8.125 lb
Tripling this weight:
8.125 lb * 3 = 24.375 lb
Now, we convert this weight back to pounds and ounces:
0.375 lb * 16 = 6 oz
So, the expected weight of the 12-month-old boy should be approximately 24 lb 6 oz.
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