A child has been diagnosed with perforation of the tympanic membrane (TM) secondary to a middle ear infection
What discharge information should the nurse provide the parents? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Your child's hearing loss will probably be permanent.".
2. "Keep the ear canal dry.".
3. "The eardrum will probably heal well on its own.".
4. "You will need to call an ear surgeon for an appointment to repair this perforation.".
5. "Most perforations indicate congenital weakness in the eardrum, so this is likely to occur again.".
2,3
Rationale 1: If the perforation is small and heals well, hearing will likely return to normal.
Rationale 2: When the TM has been perforated, the ear canal must be kept dry. Fluid introduced into the canal can enter the middle ear.
Rationale 3: The TM generally heals within a few months with no further intervention.
Rationale 4: Surgery is rarely needed to repair perforation of the TM.
Rationale 5: The perforations are generally caused by pressure from middle ear infections or from trauma and do not indicate congenital weakness of the eardrum.
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