Author Question: A pediatric nurse practitioner has diagnosed a 4-year-old girl with otitis media. The nurse should ... (Read 28 times)

karateprodigy · **on:** Jul 23, 2018

A pediatric nurse practitioner has diagnosed a 4-year-old girl with otitis media. The nurse should understand that infectious microorganisms likely entered the girl's middle ear by what means?

A) Through an alteration in the eustachian tube
B) Through the external ear
C) From within the cochlea or vestibule
D) From the interstitial spaces in the middle ear

Question 2

Which of the following patients with diarrhea would be most likely to be prescribed octreotide (Sandostatin)?

A) A child who has been diagnosed with E. coli infection
B) An older adult who has been abusing laxatives for several months
C) A teenage patient who has been diagnosed with ulcerative colitis
D) A patient with HIV/AIDS who has developed intractable diarrhea

cloud · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
The causative pathogens implicated in otitis media include Haemophilus influenzae, Streptococcus pneumoniae, and Moraxella catarrhalis. They enter the middle ear as a result of an alteration in the eustachian tube, not from the inner ear, external ear, or interstitial spaces.

Answer to Question 2

D
Feedback:
Diarrhea secondary to HIV/AIDS is an indication for treatment with octreotide. Laxative abuse, IBS, and E. coli infections would likely be treated with alternative antidiarrheal medications.