A nurse providing care to a child diagnosed with chronic otitis media with effusion (OME) will assess for which sign/symptom?

Give small amounts of favorite fluids frequently to prevent dehydration.

Dehydration is a common complication of upper respiratory tract infections in infants, especially if they have a fever. Giving small amounts of fluids frequently can help maintain hydration and electrolyte balance.

Some additional information about the other choices are:

Choice A is wrong because tepid water baths are not recommended for fever reduction. They can cause shivering, which increases heat production and can raise the

temperature further. Instead, antipyretics such as acetaminophen or ibuprofen can be given as prescribed.

Choice B is wrong because food intake may be decreased due to poor appetite, difficulty breathing, or sore throat. Forcing food intake can cause vomiting or aspiration. Fluid intake is more important than caloric intake during an acute infection.

Choice C is wrong because heavy clothing can increase heat retention and discomfort. The infant should be dressed in light clothing and the room temperature should be comfortable.

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.