A 5-month-old infant has been unusually irritable and has been pulling on the ears. The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:
1. otitis interna.
2. mastoiditis.
3. external otitis.
4. otitis media.
Correct Answer: 4
Rationale 1: Otitis interna, or labyrinthitis, can result from chronic otitis media and other types of infection. It is unlikely that this 5-month-old infant has this disorder.
Rationale 2: Mastoiditis is a bone infection that results from untreated or undertreated otitis media infections. There is no evidence that the infant has this disorder.
Rationale 3: External otitis, or "swimmer's ear," is usually treated with a strong alcohol solution, a topical antifungal, corticosteroids, or antibiotics. It is unlikely that this infant has external otitis.
Rationale 4: Most children will have an episode of acute otitis media by age 3. It is most likely that this infant has an otitis media infection, and at this age will be given antibiotics and analgesics.
Global Rationale: Most children will have an episode of acute otitis media by age 3. Pulling on the ear is a classic symptom. It is most likely that this infant has an otitis media infection, and at this age will be given antibiotics and analgesics. Otitis interna, or labyrinthitis, can result from chronic otitis media and other types of infection. It is unlikely that this 5-month-old infant has this disorder. Mastoiditis is a bone infection that results from untreated or undertreated otitis media infections. There is no evidence that the infant has this disorder. External otitis, or "swimmer's ear," is usually treated with a strong alcohol solution, a topical antifungal, corticosteroids, or antibiotics. It is unlikely that this infant has external otitis.
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