A provider has told a parent that a 3-year-old child has a minor ear infection and that an antibiotic would be prescribed in a couple of days if the child's symptoms worsened. The parent asks the nurse why the child cannot get an antibiotic today
Which response by the nurse is cor-rect? a. "If the eardrum ruptures, we can culture the fluid to determine which antibiotic is best."
b. "Most ear infections are caused by viruses, so antibiotics are not effective."
c. "Most ear infections will resolve on their own without antibiotics."
d. "Your child will develop tolerance to an-tibiotics if they are prescribed too often."
C
The vast majority of acute otitis media (AOM) episodes resolve without treatment, so unless the child is very ill, observation is the initial choice. Spontaneous rupture of the tympanic membrane can occur, but clinicians do not wait for it to happen to obtain a culture that will guide treatment. About 70% to 90% of AOM episodes are bacterial in origin. Patients do not develop tolerance to antibiotic effects; overuse of antibiotics can lead to resistant organisms.
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The nurse is caring for a toddler who fell and is having x-rays to determine if there is a fracture. The child is in the waiting room playing happily with toys and picture books
The nurse determines that the child is experiencing pain because of which of the following? 1. The child will not use the affected arm. 2. The mother tells the nurse the child is in pain. 3. The child is playing quietly. 4. The child is ignoring other children.
Outcomes research in health care is oriented toward establishing:
a. characteristics and description of nursing phenomena. b. critical indicators. c. predictive relationships. d. quality and effectiveness.
What is the most important precaution or instruction the nurse should teach the client with allergic rhinitis who has been prescribed to use an oxymetazoline (Afrin) nasal spray to manage nasal congestion?
A. "Be sure to drink at least 4 L of fluids each day while using this medication." B. "Avoid aspirin and any aspirin-containing drug while using this medication." C. "Do not use this medication for longer than 4 days." D. "Use this medication only at bedtime."
The physician has ordered bismuth (Pepto-Bismol) for the client with a peptic ulcer who is colonized with H. Pylori. The client asks the nurse why he is receiving this drug. What is the best response by the nurse?
1. "Bismuth (Pepto-Bismol) increases stomach acid to help kill bacteria." 2. "Bismuth (Pepto-Bismol) helps prevent the side effects of antibiotics." 3. "Bismuth (Pepto-Bismol) is effective for inhibiting bacterial growth." 4. "Bismuth (Pepto-Bismol) keeps bacteria from sticking in your stomach." 5. "Bismuth (Pepto-Bismol) helps relieve ulcer-related constipation."