A nurse is evaluating a child with suspected otitis media.
Which assessment findings are more likely associated with otitis media with effusion (OME)? Select The correct statements:.
"The child reports severe, throbbing ear pain.”..
"Pus is observed draining from the ear canal.”..
"Hearing loss is mild to moderate.”..
"The eardrum appears red and bulging.”..
The Correct Answer is C
Choice A rationale:
The child reporting severe, throbbing ear pain is more indicative of acute otitis media (AOM) rather than otitis media with effusion (OME).
Severe pain is a common symptom of an active infection in the middle ear.
Choice B rationale:
Pus observed draining from the ear canal is a sign of acute otitis media (AOM).
Drainage indicates a ruptured eardrum, allowing the infected fluid to escape, relieving pressure and pain.
Choice C rationale:
Hearing loss that is mild to moderate is characteristic of otitis media with effusion (OME).
OME occurs when fluid remains trapped in the middle ear after the infection has resolved.
The presence of fluid can affect hearing, especially at lower frequencies, leading to mild to moderate hearing loss.
Choice D rationale:
The eardrum appearing red and bulging is a typical finding in acute otitis media (AOM), not otitis media with effusion (OME).
In AOM, the eardrum becomes red due to inflammation and bulges due to increased pressure from fluid buildup.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
"I have a high fever, and I'm shivering.”.
Choice A rationale:
"I have a high fever, and I'm shivering.”.
A high fever with chills indicates a systemic response to infection, which can be seen in severe cases of otitis media.
Fever is a common symptom and can indicate a spreading or worsening infection.
Shivering (rigors) often accompanies a high fever and suggests a significant inflammatory response in the body.
Choice B rationale:
"I feel warm, but I'm not sweating.”.
Feeling warm without sweating may indicate a low-grade fever, which can occur in various infections, including otitis media.
However, this statement does not provide information about the severity of the fever or the child's overall condition.
Choice C rationale:
"I'm sweating a lot, and I'm very tired.”.
Sweating and fatigue can be symptoms of various illnesses, including infections.
Sweating, especially if accompanied by other symptoms like fever, can indicate a fever breaking, but it does not specifically provide information about the severity of the infection or its relationship to otitis media.
Choice D rationale:
"I don't have a fever at all.”.
The absence of fever is not consistent with acute otitis media.
Fever is a common systemic response to infection and inflammation.
In the context of otitis media, the presence of fever indicates a more severe or active infection.
Correct Answer is B
Explanation
The correct answer is Choice B: Antivirals.
Choice A rationale:
Watchful waiting is a valid approach, especially for mild cases of otitis media, allowing time to see if the condition improves on its own.
Choice B rationale:
Antivirals are not typically used to manage otitis media because it is usually caused by bacterial infections or fluid buildup rather than viruses.
Choice C rationale:
Myringotomy, which involves creating a small incision in the eardrum to drain fluid, is an effective treatment for recurrent or severe cases of otitis media.
Choice D rationale:
Administration of over-the-counter pain relievers helps manage pain and discomfort associated with otitis media and is a common recommendation.
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