The nurse is caring for a preschool-age child diagnosed with acute otitis media. Which intervention should be a priority for the nurse?
A) Relieving pain
B) Administering a mydriatic
C) Cautioning the child not to blow the nose
D) Cautioning the child not to pull on the ear
A
Feedback:
Acute otitis media causes sharp, constant pain in one or both ears. Older children can verbalize they have pain and point to where it is at. Relief of pain should be the nurse's priority when caring for this patient. A mydriatic is a medication for an eye disorder. There is no reason why the child cannot blow the nose. Pulling on the ear is an attempt to reduce the pain.
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