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

This is because toddlers continue to have the short, straight internal ear canal of infants.

The lymphoid tissue of the tonsils and adenoids continues to be relatively large. These two anatomic conditions combine to predispose the toddler to frequent infections.

Choice A is wrong because respirations are abdominal. This does not affect the susceptibility to infection.

Choice B is wrong because pulse and respiratory rates are slower than those in infancy. This also does not affect the susceptibility to infection.

Choice C is wrong because defense mechanisms are less efficient than those during

infancy. This is not true, as the defense mechanisms are more efficient compared with those of infancy.

Assess the parents’ anxiety level and readiness to learn. This is because the nurse needs to evaluate the parent’s emotional state and their ability to comprehend and retain information before providing any teaching.

The nurse should also consider the parent'slearning style, cultural background, and literacy level.

Choice B is wrong because gathering literature for the parents is not the first action. The nurse should first assess the parents’ needs and preferences and then select appropriate materials that match their level of understanding and language.

Choice C is wrong because securing a quiet place for teaching is not the first action. The nurse should first assess the parents’ readiness to learn and then choose a suitable environment that minimizes distractions and promotes comfort.

Choice D is wrong because discussing the plan with the nursing team is not the first action. The nurse should first assess the parents’ anxiety level and readiness to learn and then collaborate with other health care professionals to provide consistent and accurate information.