The nurse working in an urgent care center admits a 16-month-old infant who has been pulling on his ear. The child is diagnosed with otitis media. What instructions will the nurse provide to reduce ear pain? Select all that apply
Standard Text: Select all that apply. 1. Elevate the child's head.
2. Hold the sore ear against the parent's shoulder.
3. Administer aspirin every four hours.
4. Alternate ibuprofen every six hours with acetaminophen every six hours.
5. Administer ibuprofen or acetaminophen, but not a combination of both, for pain.
1,2,5
Rationale: Elevating the head, applying heat to the sore ear in the form of the parent's body heat, and administering analgesics will help to reduce the discomfort the child experiences until the ear infection subsides. Ear infections are often viral in origin, so aspirin is contraindicated due to the risk of Reye's syndrome. Alternating ibuprofen and acetaminophen has resulted in many children overdosing on analgesics, and is a dangerous practice.
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