Author Question: A nurse is educating the parents of a 5-year-old with bacterial otitis media. Which discharge ... (Read 23 times)

K@ · **on:** Jun 28, 2018

A nurse is educating the parents of a 5-year-old with bacterial otitis media. Which discharge instruction is most important?

A.
Bring her back if she is not better in 1 week.
B.
Do not allow your child to swim in the future.
C.
Give the full course of antibiotics even if she is better.
D.
Ice packs are a good way to manage her ear pain.

Question 2

A 4-year-old girl is brought to the emergency department. She has a frog-like croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. Which nursing action is the priority for this patient?

A.
Maintain the airway.
B.
Obtain a throat culture.
C.
Start an intravenous line.
D.
Transport for a chest x-ray.

atrochim · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Giving the full course of antibiotics is crucial to prevent the development of resistant bacteria. If the child is not showing improvement in 48 to 72 hours, she should be reassessed. Swimming is not prohibited after the infection heals. Heat is a better option for ear pain.

Answer to Question 2

ANS: A
Airway, breathing, and circulation are the primary concerns for all patients. When a patient has acute respiratory distress, the most important nursing intervention is maintaining an airway. Starting an IV is important, but it is not the primary concern. Obtaining a throat culture would be contraindicated at this time, as it could cause vomiting or occlusion of the airway. The child should not be transported for x-ray; it should be done with portable equipment.