Which should the nurse include in the discharge instructions for the parents of an infant who is diagnosed with acute otitis media?
1. Keep the baby in a flat position during sleep.
2. Administer a decongestant.
3. Place the baby to sleep with a pacifier.
4. Administer acetaminophen (Tylenol) to relieve discomfort.
4
Explanation:
1. A flat position could exacerbate the discomfort. Elevating the head slightly is recommended.
2. Decongestants are not recommended for treatment of acute otitis media.
3. Placing infants to sleep with a pacifier can increase the incidence of otitis media.
4. An infant with a bulging tympanic membrane because of acute otitis media will have pain. Parents are taught to administer acetaminophen (Tylenol) to relieve the discomfort associated with acute otitis media.
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