The ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanostomy tubes on the previous day
The mother of the child tells the nurse that the child is complaining of discomfort. The nurse would instruct the mother to: 1. Call the physician immediately.
2. Give the child acetaminophen (Tylenol) for the discomfort.
3. Give the child children's aspirin, and call the physician if it does not help.
4. Call the local pharmacist regarding a stronger over-the-counter analgesic.
2
Rationale: Following myringotomy with insertion of tympanostomy tubes, the child may expe-rience some discomfort. It is not necessary to notify the physician, and additionally, this response to the mother may alarm her. Aspirin should not be given to the child. Tylenol can be given to relieve the discomfort. "Call the local pharmacist regarding a stronger over-the-counter analgesic" is inappropriate.
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