The caregiver of a toddler is concerned about the frequency of ear infections and states, "The pediatrician said my child's ear tubes are small and short. What can I do about this?" Which action should the nurse take?
Refer the caregiver to an audiologist.
Explain to the caregiver this a normal finding.
Discuss the importance of prophylactic antibiotics.
Schedule the toddler for a tympanostomy procedure.
The Correct Answer is B
A. Refer the caregiver to an audiologist: Referral to an audiologist is indicated if there are concerns about hearing loss, not for normal anatomical variations of the eustachian tubes.
B. Explain to the caregiver this is a normal finding: In toddlers, the eustachian tubes are naturally shorter and more horizontal, which predisposes them to ear infections. Educating the caregiver about this normal anatomy helps them understand the cause without unnecessary concern.
C. Discuss the importance of prophylactic antibiotics: Routine prophylactic antibiotics are not recommended for preventing recurrent ear infections due to normal eustachian tube anatomy, as overuse can lead to resistance.
D. Schedule the toddler for a tympanostomy procedure: Tympanostomy tubes are only considered for children with recurrent or persistent otitis media with effusion causing hearing loss or complications, not for normal anatomical predisposition alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Temperature: While monitoring temperature is part of routine assessment, it does not directly affect the safe administration of morphine. Fever is not an immediate contraindication to opioid use.
B. Heart rate: Heart rate should be monitored, but morphine primarily depresses the respiratory system rather than significantly affecting heart rate in most cases.
C. Respiratory rate: Morphine can cause respiratory depression, especially in opioid-naive or older adults. Assessing the respiratory rate before administration ensures the client can safely tolerate the medication and allows for early detection of adverse effects.
D. Blood pressure: Morphine can cause hypotension, so blood pressure monitoring is important, but respiratory depression poses a more immediate life-threatening risk and takes priority before administration.
Correct Answer is ["A","D","E"]
Explanation
A. Thirst: Recurrent yeast infections in adolescents may indicate underlying hyperglycemia, as excessive glucose in the urine promotes fungal growth. Thirst is a classic symptom of diabetes mellitus and should be assessed.
B. Increased appetite: While diabetes can sometimes cause polyphagia, it is less specific than other signs such as thirst, urinary frequency, and tachycardia. It may not be present in every case and is not a primary screening indicator.
C. Heat intolerance: Heat intolerance is more commonly associated with hyperthyroidism, not recurrent yeast infections. Assessing for this symptom is not directly relevant to evaluating potential diabetes in this adolescent.
D. Tachycardia: Elevated heart rate can occur with dehydration caused by hyperglycemia and osmotic diuresis. Tachycardia may be an important clinical clue in assessing for undiagnosed diabetes.
E. Urinary frequency: Polyuria is a hallmark symptom of hyperglycemia and diabetes mellitus. Recurrent yeast infections may prompt assessment for urinary frequency as part of the screening for possible diabetes.
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