The nurse provides discharge instructions to the mother of a child following a myringotomy with insertion of tympanostomy tubes. Which of the following statements, if made by the mother, in-dicates a need for further education?
1. "My child should not swim in deep water."
2. "I need to prevent my child from blowing the nose."
3. "My child can swim in the lake as long as the water is not deep."
4. "My child can take a shower or bath as long as I place Vaseline on cotton balls or earplugs in the ears."
3
Rationale: Bath water and lake water are potential sources of bacterial contamination. Diving and swimming deeply under water are prohibited. Parents need to be instructed that the child should not blow the nose for 7 to 10 days. The child's ears need to be kept dry, and Vaseline on cotton balls or earplugs can be placed in the ears during a bath or shower.
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