An infant is diagnosed with acute otitis media. Which intervention is most appropriate for the nurse to teach the infant's parents?
1. Keep the baby in a flat lying position during sleep.
2. Administer acetaminophen (Tylenol) to relieve discomfort.
3. Administer a decongestant.
4. Place baby to sleep with a pacifier.
Correct Answer: 2
Rationale: 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. A flat lying position may exacerbate the discomfort. Elevating the head slightly is recommended. Decongestants are not recommended for treatment of acute otitis media. Placing infants to sleep with a pacifier may increase the incidence of otitis media.
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