The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5º C. Which of the following actions will be taken?
A) Obtain a culture of the middle ear fluid.
B) Instruct the parents to watch for worsening symptoms.
C) Administer antibiotics.
D) Administer antivirals.
B
Feedback:
In this case, the child will be continually observed. If the symptoms persist or become worse, antibiotics will be prescribed. This clinical practice guideline was developed by the American Academy of Pediatrics and the American Academy of Family Physicians in order to avoid overusing antibiotics or obtaining a middle ear fluid culture with every occurrence of acute otitis media. Administering antiviral agents would not be appropriate for this child. (Refer to Table 39.3 for treatment recommendations for acute otitis media.)
You might also like to view...
Ammonia, hydrogen, and ammonium are secreted in the
a. loop of Henle. c. glomerulus. b. collecting duct. d. proximal tubule.
An 18-month-old toddler scheduled for routine vaccinations begins to cry when placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective. Which action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment. B) Allow the toddler to stand on the floor until the crying stops. C) Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior. D) Instruct the parent to hold the toddler down tightly to complete the examination.
20% can be reduced to its lowest term expressed as:
1. 1/6 2. 1/5 3. 2/5 4. 2/4
The client with a BMI over 35:
1. Has an increased health risk for many chronic diseases 2. Is at an increased risk for tuberculosis 3. Will always have non–insulin-dependent diabetes 4. Derives minimal health benefits from increased physical activity