The child has been diagnosed with acute otitis media. Which of the following findings by the nurse are consistent with this diagnosis? Standard Text: Select all that apply
1. Temperature is 101.4 degrees Fahrenheit.
2. The tympanic membrane is pearly gray.
3. The mother states, "I cannot get her to eat anything. She just picks at her food.".
4. The mother states, "She has been so fussy.".
5. The mother states, "She can sleep only while she's sitting up on my lap while I'm in the rocking chair.".
1,3,4,5
Rationale 1: Temperature is 101.4 degrees Fahrenheit. This child has a fever, which is consistent with acute otitis media.
Rationale 2: The tympanic membrane is pearly gray. The tympanic membrane of a child with acute otitis media will be orange-red or red and bulging with purulent drainage within the middle ear space. A pearly gray tympanic membrane is a normal finding.
Rationale 3: The mother states, "I cannot get her to eat anything. She just picks at her food.". The child is anorexic and not eating well currently. This is consistent with acute otitis media.
Rationale 4: The mother states, "She has been so fussy.". Irritability is associated with acute otitis media.
Rationale 5: The mother states, "She can sleep only while she's sitting up on my lap while I'm in the rocking chair.". Children with acute otitis media may not be able to sleep while lying down.
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