The nurse is caring for a happy, playful baby who has been treated for recurrent ear infections. Upon assessment, the nurse finds fluid in the middle ear, but the baby has no apparent signs of local or systemic illness
The nurse suspects that the baby is experiencing mild hearing loss, be-cause the father must speak to her a couple of times before the baby responds. The nurse should suspect a. acute otitis media.
b. otitis media with effusion.
c. acute otitis externa.
d. otomycosis.
B
Otitis media with effusion (OME) is characterized by fluid in the middle ear but without evi-dence of local or systemic illness. OME may cause mild hearing loss, but it does not cause pain. The condition can persist for weeks to months after OME has resolved.
Acute otitis media is characterized by inflammation and fluid in the middle ear, pain, fever, vo-miting, irritability, impaired hearing, sleeplessness, and otorrhea.
Acute otitis externa, also known as swimmer's ear, is a bacterial infection of the external auditory canal. It is marked by a rapid-onset ear pain with pruritus, impaired hearing, purulent drainage, and increased tenderness upon manipulation of the auricle.
Otomycosis, or fungal otitis externa, manifests as intense pruritus and erythema and may or may not involve pain and hearing loss.
You might also like to view...
A nurse who is assigned to the ambulatory pediatric outpatient health care center is asked to assess a family for protective factors. These include: (Select all that apply.)
1. Financial resources of the families. 2. Family stressors. 3. Knowledge of infant care needs. 4. Support from family and friends. 5. Mother's nutritional state during pregnancy.
A nurse is administering drugs to a 70-year-old patient who has a reduced plasma albumin level. When assessing the patient for therapeutic outcomes of drug therapy, the nurse will also be careful to observe for
A) possible drug toxicity. B) decreased therapeutic effects. C) altered drug absorption. D) increased drug metabolism.
The LPN/LVN is assisting with the data collection of a patient recently admitted to the mental health unit. During the interview, the patient makes a statement that concerns the nurse
Which of the following statements would be most likely to prompt immediate attention? A. "When I get out of here I am going to overdose on my mother's medication." B. "When I get discharged, I am thinking I might try suicide again." C. "I don't feel any better since I got here." D. "If I get the chance, I just might run away."
During a physical assessment the client asks the nurse repeatedly, "Is everything ok?" The nurse believes this client is demonstrating:
1. A poor self-concept. 2. Inappropriate affect. 3. Confusion. 4. Anxiety.