A child in the family practice clinic reports that "my ear itches." On otoscopic exam, the ear canal is swollen, red, and full of debris. Which instruction does the nurse anticipate giving the parent?
A.
Clean the ear canals occasionally with a cotton swab.
B.
Dry the ear canals with a hair dryer set on low heat.
C.
Give the full course of antibiotics even if the child is better.
D.
Your child should not be allowed to swim in the future.
ANS: B
This child has manifestations of otitis externa. Often called swimmer's ear, it is not always associated with swimming. However, the parents need to investigate strategies for keeping the ears dry, including using a hair dryer set on low, wearing ear plugs or a swimming cap, or using solutions designed to promote drying. The parents should not insert anything into the ear canal. Antibiotics are not used with this condition. Swimming is not prohibited.
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