Author Question: Which of the following responses made by the parents of a child recovering from a myringotomy for ... (Read 64 times)

LCritchfi · **on:** Jul 22, 2018

Which of the following responses made by the parents of a child recovering from a myringotomy for acute otitis media would indicate the instruction provided on home management was effective?

1. Ear irrigations should be placed on the wall of the external canal, and not on the tympanic membrane.
2. Air travel and sudden barometric shifts will not affect the surgical procedure.
3. Sterile cotton-tipped swabs can be used to clean the ear drainage.
4. Shampooing and swimming are not restricted after a couple of weeks.

Question 2

The client reports that her teenager has started a vegan diet. Which addition to meals should the nurse recommend to help ensure that this teenager does not become iron deficient? (Select all that apply.)

1. Tofu
2. Soybean milk
3. Brewer's yeast
4. Orange juice
5. Okra

Jadwiga9 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Air travel and sudden barometric shifts will not affect the surgical procedure.

Rationale:
Air travel and sudden barometric shifts should not cause a pressure buildup, since the tubes are in place and pressure equalization between the middle ear and the atmosphere can occur through the myringotomy tubes. No ear irrigations should be given during the postoperative periods for a myringotomy. No water should be allowed to enter the external ear, since the fluid could enter the middle ear through the tubes and contaminate the middle ear. Even sterile swabs are not to be placed in the external canal after the myringotomy, because of the potential of dislodging the tubes as well as the potential for contamination into the middle ear. Shampooing, swimming, submerging in water, and getting water in the ear are contraindicated for several months (not weeks) due to the risk of water contamination into the middle ear.

Answer to Question 2

1. Tofu
2. Soybean milk
4. Orange juice

Rationale:
While all these options are good ones for someone on a vegan diet, the ones that would best prevent iron deficiency are tofu, soybean milk, and orange juice. Tofu and soybean milk are good sources of protein and iron. Orange juice supports iron absorption from foods since it is high in vitamin C. Brewer's yeast is a good source of vitamin B12, which is often low in vegan diets.