A child with slight irritability is diagnosed with a mild case of otitis media. The prescriber recommends acetaminophen. The parent comments to a nurse, "I expected my child to be started on an antibiotic"
The nurse's best response or responses are which of the following? (Select all that apply.) a. "Antibiotics are too expensive and toxic to be used in mild otitis media."
b. "The child is not sick enough to warrant an antibiotic."
c. "The provider does not believe antibiotics are ever indicated for otitis media."
d. "Mild otitis media usually resolves without antibiotics."
e. "Unnecessary antibiotics contribute to resistant organisms."
D, E
Antibiotic therapy should be discouraged unless necessary, and most cases of otitis media that are not serious resolve on their own. Providing unnecessary antibiotics contributes to resistance among organisms and makes treatment difficult.
Antibiotics are not necessarily expensive or toxic.
The nurse should never tell a parent that a child is "not sick enough."
Saying that the provider does not believe antibiotics are ever indicated for otitis media is incor-rect, because antibiotics may be indicated if the prescriber considers that the condition warrants them.
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