Home care is being considered for a young child who is ventilator ...

[P68T]

Home care is being considered for a young child who is ventilator dependent. Which factor is most important in deciding whether home care is appropriate?
 
  a. Level of parents' education
  b. Presence of two parents in the home
  c. Preparation and training of family
  d. Family's ability to assume all health care costs

Question 2

Which statement is characteristic of AOM?
 
  a. The etiology is unknown.
  b. Permanent hearing loss often results.
  c. It can be treated by intramuscular (IM) antibiotics.
  d. It is treated with a broad range of antibiotics.

[juicepod]

Answer to Question 1

C
Feedback
A The amount of formal education reached by the parents is not the important
issue. The determinant is the family's ability to care adequately for the child in
the home.
B At least two family members should learn and demonstrate all aspects of the
child's care in the hospital, but it does not have to be two parents.
C One of the essential elements is the training and preparation of the family. The
family must be able to demonstrate all aspects of care for the child. In many
areas, it cannot be guaranteed that nursing care will be available on a continual
basis, and the family will have to care for the child.
D Few families can assume all health care costs. Financial planning, including
negotiating arrangements with the insurance company and/or public programs,
may be required.

Answer to Question 2

D
Feedback
A The etiology of AOM may be Streptococcus pneumoniae, Haemophilus
influenzae, and Moraxella catarrhalis, or a viral agent. Recent concerns about
drug-resistant organisms have caused authorities to recommend judicious use of
antibiotics and that antibiotics are not required for initial treatment.
B Permanent hearing loss is not a frequent cause of properly treated AOM.
C Intramuscular antibiotics are not necessary. Oral amoxicillin is the treatment of
choice.
D Historically AOM has been treated with a range of antibiotics, and it is the most
common disorder treated with antibiotics in the ambulatory setting.

[P68T]

TYSM

[bulacsom]

Gracias!