Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39° C (102.2° F), is crying inconsolably, and is tugging at the ears. A diagnosis of otitis media (OM) is made
In addition to antibiotic therapy, the nurse practitioner should instruct the parents to use what medication?
a. Decongestants to ease stuffy nose
b. Antihistamines to help the child sleep
c. Aspirin for pain and fever management
d. Benzocaine ear drops for topical pain relief
ANS: D
Analgesic ear drops can provide topical relief for the intense pain of OM. Decongestants and antihistamines are not recommended in the treatment of OM. Aspirin is contraindicated in young children because of the association with Reye syndrome.
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