A young mother brings an infant to the pediatric clinic. The infant has had a fever and is pulling at the left ear. Based on this data, which disorder does the nurse suspect?
1. Sinusitis.
2. Otitis media.
3. Tonsillitis.
4. Otitis externa.
Correct Answer: 2
Fever and hearing loss are clinical manifestations associated with otitis media. The auditory canal of infants is shorter and has an upward curve that persists until about the age of 3. In addition, their auditory tube is more horizontal than the adult, which leads to easier migration of organisms from the throat to the middle ear. Infants and children with otitis media often display the behavior of pulling at their ears. Sinusitis is associated with facial pain, inflammation, and nasal discharge. Tonsillitis is associated with reddened, inflamed tonsils and a fever. Otitis externa is associated with a red, swollen auricle and ear canal. Clients with otitis externa also might have a fever.
You might also like to view...
Which of the following laboratory tests relates most directly with the impaired drug elimination that is expected in neonates?
A) C-reactive protein level B) Creatine kinase C) Serum albumin level D) Glomerular filtration rate
A patient is scheduled to have an electronystagmography as part of a diagnostic workup for Ménière's disease. What question is it most important for the nurse to ask the patient in preparation for this test?
A) "Have you ever experienced claustrophobia or feelings of anxiety while in enclosed spaces?" B) "Do you currently take sedatives, tranquilizers, or antihistamines on a regular basis?" C) "Do you have a history of falls or problems with loss of balance?" D) "Do you have a history of either high or low blood pressure?"
The nurse is administering intravenous immune globulin (IVIG). The nurse assesses vital signs and for adverse reactions every 15 minutes for the first hour of administration
After the first hour, the nurse most likely would continue to assess the child at which frequency? A) Every 30 minutes B) Every 45 minutes C) Every 60 minutes D) Every 2 hours
The transitional stool of the newborn usually occurs by the 3rd day and is:
a. green brown-yellow brown c. grayish b. clay color d. light yellow-light green