A nurse is acting as a preceptor for a group of student nurses. The group is discussing common problems associated with the ear
To evaluate the group's understanding, the nurse asks, "What is the difference between otitis media with effusion (OME) and acute otitis media (AOM)? What response by a student nurse best demonstrates understanding?
a. "AOM may require treatment with short-term antibacterial therapy. OME may cause mild hearing loss without pain, and antibacterial therapy is minimally effective."
b. "Both AOM and OME need treatment with short-term antibacterial therapy."
c. "OME can occur after AOM and lasts for a few days, whereas AOM is not as serious and can be treated at home."
d. "With AOM, parents should consider having tubes inserted into ear. With OME, parents need not be too concerned."
ANS: A
AOM is characterized by rapid-onset middle ear effusion and middle ear inflammation. It may be bacterial or viral in origin, or both. Treatment with antibiotic therapy is based on age and certainty of diagnosis. OME is characterized by fluid in the middle ear but without evidence of local or systemic illness, and it may cause mild hearing loss. Antibiotics have a minimal effect in OME.
Antibiotics have minimal effect in OME and should not be used.
OME can persist for weeks to months after AOM has resolved.
Tubes in the ears are indicated for recurrent otitis media, not for AOM or OME.
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