The nurse is examining a toddler client. The toddler has a fever and the nurse notes the ear canal is red and swollen, and the presence of purulent drainage. Based on this assessment data, which diagnosis does the nurse anticipate?
1. Otitis media.
2. Otitis externa.
3. Hemotympanum.
4. Tophi.
Correct Answer: 2
Otitis externa is an infection of the external auditory canal manifested by red, swollen ear canal, fever, and purulent drainage. The auditory canal of infants is shorter and has an upward curve that persists until about the age of 3. In addition, their auditory tube is more horizontal than the adult, which leads to easier migration of organisms from the throat to the middle ear. Infants and children with otitis media often display the behavior of pulling at their ears. Hemotympanum is a bluish tinge of the tympanic membrane indicating the presence of blood in the middle ear. It is usually associated with head trauma. Tophi are small white nodules on the helix or antihelix. These nodules contain uric acid crystals and are a sign of
You might also like to view...
A nurse is caring for a client who has a serum calcium level of 14 mg/dL. Which provider order should the nurse implement first?
a. Encourage oral fluid intake. b. Connect the client to a cardiac monitor. c. Assess urinary output. d. Administer oral calcitonin (Calcimar).
Which of the following physiological processes would be considered a positive feedback mechanism?
A) The release of antidiuretic hormone (ADH) from the posterior pituitary gland B) Shivering in response to low environmental temperature C) The platelet aggregation mechanism for closing minute ruptures in very small blood vessels during accidental injury D) Increased production of white blood cells (WBCs) in response to a microorganism
A patient with third-degree burns is prescribed gastrointestinal medication. How should the nurse explain the primary action of this medication?
1. It prevents the formation of a Curling ulcer. 2. It treats a preexisting duodenal ulcer. 3. It ensures adequate peristalsis. 4. It has antiemetic properties.
Steps the RN can take to reduce the risk of malpractice include all of the following except
a. administer drugs carefully. b. document accurately. c. do not delegate any tasks. d. think before you speak.