The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 101.3°F (38.5ºC). Which action 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.
Ans: B) Instruct the parents to watch for worsening symptoms.
Explanation: 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.
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