A nurse is conducting an assessment of a child with recurrent otitis media. Which of the following assessments should the nurse prioritize?
Assessing the child's pain level
Assessing the child's vision
Assessing the child's lung sounds
Assessing the child's blood pressure
The Correct Answer is A
A. Pain is a common and distressing symptom in children with otitis media. Assessing and managing the
child’s pain should be a priority.
B. While assessing vision can be important in some conditions, it is not a priority for recurrent otitis media.
C. Assessing lung sounds is important for respiratory assessments but not as relevant for otitis media.
D. Blood pressure assessment is not specifically indicated for otitis media unless there are other concerns.
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Related Questions
Correct Answer is A
Explanation
A. A child falling from a swing and not crying or complaining of pain could be a sign of an underlying injury or a serious condition like a head injury or internal bleeding. Immediate evaluation is needed.
B. Occasional nightmares and trouble falling asleep are common in young children and are typically not
a cause for concern unless they are persistent or interfere with the child’s daily functioning.
C. A low-grade fever for a day is common and might be a mild viral illness, but should be monitored to see if it resolves or worsens.
D. Engaging in a new hobby like painting is a positive sign of the child’s social and emotional
development, not a cause for concern.
Correct Answer is C
Explanation
A. Tracheoesophageal fistula is a congenital anomaly that affects the esophagus and is not associated with abdominal masses or blood and mucus in the stool.
B. Hypertrophic pyloric stenosis typically causes projectile vomiting and failure to thrive, but it does not typically present with an abdominal mass or blood in the stool.
C. Intussusception occurs when part of the intestine telescopes into another part, causing a mass, abdominal pain, and sometimes blood and mucus in the stools, which is consistent with the signs described.
D. Inguinal hernia is a protrusion of abdominal contents into the groin area, not typically associated with abdominal masses in the upper quadrant or blood in the stool.
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