A nurse is discussing health maintenance with the parent of a ...

[rachel9]

A nurse is discussing health maintenance with the parent of a newborn infant. Which statement by the parent indicates understanding of ways to reduce the incidence of otitis media?
 
  a. I should hold my baby in an upright position during feeding.
  b. I should keep my baby out of day care during cold and flu season.
  c. My baby should not use a pacifier after 6 months of age.
  d. The pneumococcal vaccine will prevent my baby from getting ear infections.

Question 2

A patient has been diagnosed with fungal otitis externa (otomycosis). The nurse correctly explains that for the first course of treatment the patient should expect: a. acidifying drops for 1 week.
 
  a. acidifying drops for 1 week.
  b. antibiotic ear drops.
  c. intravenous (IV) antifungal agents.
  d. oral antibiotics.

[lorealeza77]

Answer to Question 1

ANS: B
Avoiding child care centers when respiratory infections are prevalent can significantly reduce the incidence of AOM. Holding infants in an upright position is an unproved recommendation. Avoiding pacifier use in the second 6 months of life is an unproved recommendation. The pneumococcal vaccine can slightly reduce the risk of AOM.

Answer to Question 2

ANS: A
As a rule, otomycosis can be managed with thorough cleansing and application of acidifying drops (2 acetic acid solution applied 3 or 4 times a day for 7 days). If that does not work, an antifungal drug solution can be tried. If the infection fails to respond to the drug, oral antifungal therapy may be needed. Neither antibiotic ear drops nor oral antibiotics are indicated as the first course of treatment. IV antifungal agents are not indicated at all.

[rachel9]

TY

[lorealeza77]

You're welcome