An infant is diagnosed with acute otitis media. Which ...

[Shelles]

An infant is diagnosed with acute otitis media. Which intervention is most appropriate for the nurse to teach the infant's parents?
 
  1. Keep the baby in a flat lying position during sleep.
  2. Administer acetaminophen (Tylenol) to relieve discomfort.
  3. Administer a decongestant.
  4. Place baby to sleep with a pacifier.

Question 2

The nurse teaches parents how to care for their child who has tympanostomy tubes inserted. Which actions by the parents indicate appropriate understanding of the teaching session?
 
  1. Encouraging the child to drink generous amounts of fluids
  2. Administering a decongestant for one to two weeks following surgery
  3. Restricting the child to quiet activities after surgery
  4. Limiting diet to soft, bland foods
  5. Avoiding getting water in ears during bath time

[Brummell1998]

Answer to Question 1

Correct Answer: 2
Rationale: An infant with a bulging tympanic membrane because of acute otitis media will have pain. Parents are taught to administer acetaminophen (Tylenol) to relieve the discomfort associated with acute otitis media. A flat lying position may exacerbate the discomfort. Elevating the head slightly is recommended. Decongestants are not recommended for treatment of acute otitis media. Placing infants to sleep with a pacifier may increase the incidence of otitis media.

Answer to Question 2

Correct Answer: 1,3,5
Rationale: The correct responses include encouraging the child to drink generous amount of water, restricting the child to quiet activities after surgery, and avoiding water in the child's ears at bath time. Incorrect responses include administering a decongestant for one to two weeks following surgery and limiting diet to soft, bland foodsdecongestants are not needed after surgery, and a regular diet should be resumed.

[Shelles]

Gracias!

[bigsis44]

Excellent