The 15 month old has been diagnosed with acute otitis media. Which of the following nursing diagnoses would be most applicable? Standard Text: Select all that apply
1. Acute pain
2. Hyperthermia
3. Nutrition: altered, more than body requirements
4. Risk for caregiver role strain
5. Decreased cardiac output
1,2,4
Rationale 1: Acute pain. Children with acute middle ear infections typically suffer from acute ear pain.
Rationale 2: Hyperthermia. They are more likely to develop a fever. Hyperthermia is an appropriate nursing diagnosis.
Rationale 3: Nutrition: altered, more than body requirements. The child with acute otitis media is usually anorexic and less likely to be receiving adequate amounts of nourishment.
Rationale 4: Risk for caregiver role strain. The child's caregivers must be assessed to determine if they are stressed. Many parents of ill children are sleep deprived because of their child's altered sleep patterns.
Rationale 5: Decreased cardiac output. If there are any alterations with the child's cardiac output, the child with a fever may have an increased cardiac output, rather than a decreased cardiac output.
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