A 2-year-old child is seen in the clinic in July with otalgia; erythematous, bulging tympanic membranes; and rupture of the right TM
The child also has a temperature of 39.4° C. The child's parent tells the nurse, "This is the fifth ear infection this year. What can we do?" The nurse will expect the provider to:
a. administer ceftriaxone (Rocephin) IM and give the influenza vaccine.
b. begin prophylactic antibiotic therapy with trimethoprim/sulfamethoxazole (Septra).
c. prescribe amoxicillin/clavulanate (Augmentin) and refer the child to an otolaryngologist.
d. prescribe high-dose amoxicillin (Amoxil) and administer the influenza vaccine.
ANS: C
Recurrent AOM is defined as AOM that occurs three or more times within 6 months or four or more times in a year. Giving an antibiotic, such as Augmentin, is appropriate for each episode, and referral to an ENT specialist is recommended to help reduce risk. IM Rocephin might be an appropriate treatment for an episode, but a flu vaccine is not recommended in July. Prophylactic antibiotic therapy is not recommended. High-dose amoxicillin might be an appropriate treatment for an episode, but a flu vaccine is not recommended in July.
You might also like to view...
The novice nurse on the medical-surgical unit would like to have a mentor. Which traits will the novice nurse look for in seasoned nurses when choosing a mentor?
Select all that apply. A) A nurse who is the same gender. B) A nurse with at least 10 year experience. C) A nurse who is an established leader on the unit. D) A nurse will a master's degree. E) A nurse with many years of experience who is also new to the unit.
The nurse is assessing a client who has been on bed rest for several weeks. Which of the following might have occurred in this client as a result of prolonged immobility?
a. Bone demineralization b. Decreased cardiac workload c. Increased respiratory excursion d. Increased peristalsis
While orienting to the critical care unit, the newly hired nurse notices that the preceptor is using a tablet computer during medication administration. The new nurse says, "That looks awkward and time consuming." How should the preceptor reply?
1. "It is awkward but it is required and I am getting accustomed to it." 2. "I use it to make certain I am medicating the right patient." 3. "Using a tablet computer actually increases the speed at which I can deliver care." 4. "I use the tablet computer to check on dosing and side effect information when I am giving new medications."
A pregnant woman has been diagnosed with gestational diabetes. She asks the nurse whether that means she will have to take insulin. The nurse's best response is:
a. "Women who develop diabetes during pregnancy usually need to take insulin for the rest of their lives." b. "Oral diabetes medications are usually ordered during pregnancy." c. "Some women need insulin, but you may be able to control your diabetes with diet." d. "You will probably have to switch to oral medications after the baby is born."