A parent brings a 2-year-old child to the clinic, reporting that the child has an ear infection. Which assessment information leads the nurse to suspect a diagnosis of bacterial otitis media? (Select all that apply.)
A.
Acute otalgia
B.
Dull, throbbing pain
C.
Fever of 104 °F (40 °C)
D.
High-pitched crying
E.
Poor feeding
F.
Rubbing the ear
ANS: A, C, E, F
Manifestations of acute otitis media include otalgia, irritability, otorrhea, fever that may be high, poor feeding, rubbing or pulling at the ear, bulging tympanic membrane, enlarged lymph glands, and visualization of purulent material during an otoscopic exam.
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