Which of the following is NOT a way to manage otitis media in children?
Watchful waiting.
Antivirals.
Myringotomy.
Administration of over-the-counter pain relievers.
The Correct Answer is B
The correct answer is Choice B: Antivirals.
Choice A rationale:
Watchful waiting is a valid approach, especially for mild cases of otitis media, allowing time to see if the condition improves on its own.
Choice B rationale:
Antivirals are not typically used to manage otitis media because it is usually caused by bacterial infections or fluid buildup rather than viruses.
Choice C rationale:
Myringotomy, which involves creating a small incision in the eardrum to drain fluid, is an effective treatment for recurrent or severe cases of otitis media.
Choice D rationale:
Administration of over-the-counter pain relievers helps manage pain and discomfort associated with otitis media and is a common recommendation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The child reporting severe, throbbing ear pain is more indicative of acute otitis media (AOM) rather than otitis media with effusion (OME).
Severe pain is a common symptom of an active infection in the middle ear.
Choice B rationale:
Pus observed draining from the ear canal is a sign of acute otitis media (AOM).
Drainage indicates a ruptured eardrum, allowing the infected fluid to escape, relieving pressure and pain.
Choice C rationale:
Hearing loss that is mild to moderate is characteristic of otitis media with effusion (OME).
OME occurs when fluid remains trapped in the middle ear after the infection has resolved.
The presence of fluid can affect hearing, especially at lower frequencies, leading to mild to moderate hearing loss.
Choice D rationale:
The eardrum appearing red and bulging is a typical finding in acute otitis media (AOM), not otitis media with effusion (OME).
In AOM, the eardrum becomes red due to inflammation and bulges due to increased pressure from fluid buildup.
Correct Answer is B
Explanation
Choice A rationale:
Otitis media is not mainly caused by the presence of bacteria in the middle ear.
While bacterial infections can contribute to otitis media, it is not the primary cause as per the information provided in the text.
Choice B rationale:
Eustachian tube dysfunction is indeed the primary cause of otitis media.
The Eustachian tube connects the middle ear to the back of the throat.
When this tube is not functioning correctly, it can lead to the accumulation of fluid in the middle ear, providing an ideal environment for bacterial growth and infection, which results in otitis media.
Choice C rationale:
Otitis media is not primarily caused by allergic reactions.
While allergies can lead to Eustachian tube dysfunction, it is not the main cause of otitis media.
Choice D rationale:
The statement that "The risk factors for otitis media are not well-defined" is incorrect.
The risk factors for otitis media are well-established, including factors like age (more common in children), exposure to smoke, attending daycare, and Eustachian tube abnormalities.
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