The client with otitis media has purulent material draining from the affected ear. What is the nurse's first action?
A. Irrigate the affected ear.
B. Gently examine the affected ear with an otoscope.
C. Pack the affected ear and apply a pressure dressing.
D. Obtain a specimen of the draining material for culture.
B
Until the tympanic membrane is examined and found to be intact, syringing is not performed. A specimen is only obtained if the infection has failed to respond to standard antibiotic therapy.
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A neonate is being fed 20 mL every three hours by orogastric lavage. At the beginning of this feeding,the nurse aspirates 15 mL of gastric residual. The nurse should
withhold the feeding and notify the physician. 2. replace the residual and continuewith the full feeding. 3. replace the residual but only give 5 mL of the feeding. 4. withhold the feeding and check theresidual in three hours.
Which is the priority nursing intervention for an unconscious child after a fall?
a. Establish adequate airway. b. Perform neurologic assessment. c. Monitor intracranial pressure. d. Determine whether a neck injury is present.
The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members?
a. The occurrence of a patient event resulting in death or serious injury b. Decreased ability to document expenses of care provided c. Longer time to begin surgical cases d. Increased time to discharge patients to outpatient care
List ways to educate a patient to prevent burns.
What will be an ideal response?