A nurse providing care to a child diagnosed with chronic otitis media with effusion (OME) will assess for which sign/symptom?
Fever as high as 40° C (104° F)
Severe pain in the ear
Nausea and vomiting
A feeling of fullness in the ear
The Correct Answer is D
Chronic otitis media with effusion (OME) is a condition where fluid accumulates in the middle ear without signs of infection.
This can cause hearing loss, speech delay, and balance problems. The child may complain of a feeling of fullness or pressure in the ear.
Choice A is wrong because a fever as high as 40° C (104° F) is a sign of acute otitis media, which is an infection of the middle ear with inflammation and pus formation.
Choice B is wrong because severe pain in the ear is also a sign of acute otitis media, not chronic otitis media with effusion.
Choice C is wrong because nausea and vomiting are not typical symptoms of chronic otitis media with effusion. They may be associated with other conditions such as gastroenteritis or vestibular disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E","F"]
Explanation
A health history is a holistic assessment of all factors affecting a patient’s health status, including information about social, cultural, familial, and economic aspects of the patient’s life as well as any other component of the patient’s life style that affects health and well-being.
Choice B is wrong because physical assessment is not part of the health history, but a separate process of examining the patient’s body systems.
Choice A is correct because review of systems is a systematic method of collecting data on all body systems.
Choice C is correct because sexual history is an important aspect of the patient’s health that may affect their risk for sexually transmitted infections, reproductive health, and psychosocial well-being.
Choice D is correct because height, weight, BMI data are part of the biographical data that provide a baseline for comparing the patient’s characteristics to established norms for physical and emotional health.
Choice E is correct because diet and nutritional intake are relevant factors that influence the patient’s health status and may indicate potential problems such as malnutrition, obesity, or eating disorders.
Choice F is correct because family medical history provides information about the patient’s genetic risk for certain diseases and conditions that may affect their current or future health.
Correct Answer is B
Explanation
If a child has acute epiglottitis, examination of the throat may cause complete obstruction and should be performed only when immediate intubation can take place.
This is because the inflamed epiglottis can block the airway and cause respiratory distress or failure.
Choice A is wrong because inspiratory stridor is a sign of upper airway obstruction that is aggravated when a child with epiglottitis is supine.
It is not caused by examining the throat with a tongue depressor.
Choice C is wrong because sore throat and pain on swallowing are early signs of epiglottitis, not precipitated by examining the throat with a tongue depressor.
Choice D is wrong because respiratory tract infection is the cause of epiglottitis, not a symptom or condition that is precipitated by examining the throat with a tongue depressor.
Epiglottitis is caused by H. influenzae in the respiratory tract.
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