The nurse is educating parents on how to prevent recurrent otitis media in their infant.
What advice should the nurse give?

Inspect the infant’s ears daily.

Position the infant prone after feeding.

Breastfeed frequently.

Avoid exposure to smoke.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While inspecting the infant’s ears daily can help detect signs of an ear infection early, it does not prevent recurrent otitis media.

Choice B rationale

Positioning the infant prone after feeding does not prevent recurrent otitis media and can actually increase the risk of sudden infant death syndrome.

Choice C rationale

While breastfeeding frequently can provide numerous health benefits for the infant, it does not specifically prevent recurrent otitis media.

Choice D rationale

Avoiding exposure to smoke can help prevent recurrent otitis media in infants. Smoke can irritate the Eustachian tubes, which can lead to fluid buildup and increase the risk of ear infections.

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Correct Answer is B

Explanation

The correct answer is choice B: Thick, muffled voice.

Choice B rationale: A thick, muffled voice is a characteristic symptom of epiglottitis. The inflammation and swelling of the epiglottis cause an obstruction in the airway, leading to changes in the child's voice quality.

Choice A rationale: High-pitched wheezing is typically associated with conditions affecting the lower airways, such as asthma or bronchiolitis. Epiglottitis primarily affects the upper airway, causing stridor (a high-pitched, harsh sound during inhalation) rather than wheezing.

Choice C rationale: Purulent nasal discharge is not a typical symptom of epiglottitis. Epiglottitis usually presents with minimal or no secretions, while purulent discharge is more commonly seen in bacterial infections like sinusitis or pneumonia.

Choice D rationale: A productive cough is not a common symptom of epiglottitis. Coughing is associated with conditions affecting the lower respiratory tract, such as bronchitis or pneumonia. Epiglottitis primarily affects the upper airway, causing difficulty breathing and a characteristic "thick, muffled voice."

A. Apply warm compresses. B. Complete prescribed antibiotics. C. Avoid smoking. D. Avoid swimming. E. Periorbital edema is a normal finding.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
Applying warm compresses can help relieve the pain and pressure associated with acute rhinosinusitis by reducing inflammation and promoting sinus drainage.
Choice B rationale
Completing prescribed antibiotics is crucial in treating acute bacterial rhinosinusitis.
Antibiotics help eliminate the bacterial infection causing the inflammation and symptoms.
Choice C rationale
Smoking can irritate the nasal passages and exacerbate the symptoms of rhinosinusitis. Avoiding smoking can help reduce inflammation and promote healing.
Choice D rationale
Swimming, especially in chlorinated pools, can irritate the nasal passages and sinuses, potentially worsening the symptoms of rhinosinusitis. It’s recommended to avoid swimming until the condition has resolved.
Choice E rationale
Periorbital edema is not a normal finding and could indicate a complication of rhinosinusitis, such as a spread of the infection. If a client notices this symptom, they should seek medical attention.

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The nurse is educating parents on how to prevent recurrent otitis media in their infant. What advice should the nurse give?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 3-year-old male was brought into the emergency room this morning with a sudden onset of “fast and noisy breathing”. What other symptoms is the nurse likely to note in a child diagnosed with epiglottitis?

Correct Answer is B

Explanation

A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

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The nurse is educating parents on how to prevent recurrent otitis media in their infant.
What advice should the nurse give?