The nurse is assessing a 3 year old for "drainage from the nose." On assessment, a purulent drainage that has a very foul odor is noted from the left naris and no drainage is observed from the right naris. The child is afebrile with no other symptoms
What should the nurse do next?
a.
Refer to the physician for an antibiotic order.
b.
Have the mother bring the child back in 1 week.
c.
Perform an otoscopic examination of the left nares.
d.
Tell the mother that this drainage is normal for a child of this age.
ANS: C
Children are prone to put an object up the nose, producing unilateral purulent drainage with a foul odor. Because some risk for aspiration exists, removal should be prompt.
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