A 12-year-old boy has been diagnosed with acute otitis externa. The patient's mother has asked if oral medications might be more effective than ear drops
The nurse should respond in the knowledge that systemic medications for the treatment of otitis externa are only indicated in what circumstances? A) The infection is accompanied by ear discharge.
B) The patient is allergic to penicillins.
C) The patient is unable to self-administer ear drops.
D) A deep tissue infection develops.
D
Feedback:
For acute otitis externa, use of topical agents, as opposed to systemic agents, is more common. Systemic medications are indicated only if a deep tissue infection develops outside the external canal or if immunocompromised status is an issue. Allergy status, ability to self-administer, and the presence or discharge are not indications for systemic antibiotics.
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