A young mother brings an infant to the pediatric clinic. The ...

[cagreen833]

A young mother brings an infant to the pediatric clinic. The infant has had a fever and is pulling at the left ear. Based on this data, which disorder does the nurse suspect?
 
  1. Sinusitis.
  2. Otitis media.
  3. Tonsillitis.
  4. Otitis externa.

Question 2

The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days.
 
  When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate?
  1. Produced by severe nasal inflammation or obstruction.
  2. Normal for a child.
  3. A result of chronic allergies.
  4. A result of sinusitis.

[juwms]

Answer to Question 1

Correct Answer: 2
Fever and hearing loss are clinical manifestations associated with otitis media. The auditory canal of infants is shorter and has an upward curve that persists until about the age of 3. In addition, their auditory tube is more horizontal than the adult, which leads to easier migration of organisms from the throat to the middle ear. Infants and children with otitis media often display the behavior of pulling at their ears. Sinusitis is associated with facial pain, inflammation, and nasal discharge. Tonsillitis is associated with reddened, inflamed tonsils and a fever. Otitis externa is associated with a red, swollen auricle and ear canal. Clients with otitis externa also might have a fever.

Answer to Question 2

Correct Answer: 1
If the client cannot breathe through each naris, severe inflammation or an obstruction may be present. This is not a normal finding in an adult or a child. If nasal mucosa is pale and boggy or swollen, the client may have chronic allergies. Due to the client's history, this is an acute problem and not associated with chronic allergies. The client with sinusitis will have tenderness over sinus cavities.

[cagreen833]

Correct answers!

[juwms]

Great! Please up vote