The nurse is performing an otoscopic examination in a child and notes the child expressing pain as the pinna is manipulated to better examine the tympanic membrane
Which of the following findings is consistent with the most likely condition? Standard Text: Select all that apply. 1. Erythema is noted along the child's ear canal.
2. The tympanic membrane is in a full position, amber-colored, and immobile.
3. The external ear is abnormally protruding forward.
4. Edema is noted within the child's ear canal.
5. Light yellow drainage is noted within the ear canal.
1,4,5
Rationale 1: Erythema is noted along the child's ear canal. Otitis externa results a reddened ear canal.
Rationale 2: The tympanic membrane is in a full position, amber-colored, and immobile.Otitis media with effusion appears with non-purulent fluid in the middle ear space, causing edema in the eustachian tubes.
Rationale 3: The external ear is abnormally protruding forward. Mastoiditis causes the child's external ear to protrude forward.
Rationale 4: Edema is noted within the child's ear canal. Otitis externa results in edema within the ear canal.
Rationale 5: Light yellow drainage is noted within the ear canal. Purulent drainage from the ear canal can indicate that the child has developed otitis externa.
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