An infant has acute otitis media. Which of the following would be the most important for the nurse to teach the parents?
1. Keep the baby in a flat position during sleep.
2. Administer acetaminophen (Tylenol) to relieve discomfort.
3. Administer a decongestant.
4. Place the baby to sleep with a pacifier.
2
Rationale:
1. A flat position could exacerbate the discomfort. Elevating the head slightly is recommended.
2. An infant with a bulging tympanic membrane because of acute otitis media will have pain. Parents are taught to administer acetaminophen (Tylenol) to relieve the discomfort associated with acute otitis media.
3. Decongestants are not recommended for treatment of acute otitis media.
4. Placing infants to sleep with a pacifier can increase the incidence of otitis media.
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