An adolescent patient who is on the school swim team asks a nurse ...

[melina_rosy]

An adolescent patient who is on the school swim team asks a nurse about ways to prevent swimmer's ear. The nurse will tell the patient to:
 
  a. allow the ears to drain well after every swim and shower.
  b. clean the ears with a cotton-tipped appli-cator after swimming.
  c. keep the ear canals free of cerumen.
  d. use antifungal ear drops before and after swimming.

Question 2

An 18-month-old child is seen in the clinic with a temperature of 40C. The child's parents tell the nurse that the child developed the fever the previous evening and was inconsolable during the night.
 
  The provider examines the child and notes a bulging, erythematous tympanic membrane. The nurse will expect to: a. ask the parent to return to the clinic in 2 days to see whether antibiotics need to be started.
  b. discuss a referral to an ear, nose, and throat specialist for follow-up treatment.
  c. teach the parent to give analgesics for 3 days while observing for worsening symptoms.
  d. tell the parent to administer amoxicillin at 45 mg/kg/dose twice daily.

Question 3

A 6-year-old child has otitis media and is being treated with amoxicillin Amoxil and ibuprofen Motrin. The child's parent calls the nurse to report that the child's pain is not relieved with the ibuprofen.
 
  The child is afebrile and there is no drainage from either ear. The nurse will discuss which additional treatment with the child's provider? a. Adding acetaminophen Tylenol to the pain medication regimen
  b. Applying antipyrine and benzocaine Au-rodex solution to the ear canals
  c. Changing the antibiotic to amoxicil-lin/clavulanate Augmentin
  d. Performing a tympanostomy to relieve pressure in the middle ear

Question 4

Which are components of otitis externa management? (Select all that apply.)
 
  a. Ciprofloxacin and hydrocortisone otic drops
  b. Cleaning the ear canals with a cot-ton-tipped applicator
  c. Keeping the external ear canal dry after swimming
  d. Taking systemic antibiotics, such as amoxicillin/clavulanate Augmentin
  e. Using a solution of alcohol and acetic acid to dry and acidify the ear

Question 5

A patient who has pulmonary arterial hypertension (PAH) is receiving epoprostenol Flolan at a rate of 210 ng per minute using a portable pump. The patient weighs 70 kg. The patient calls the clinic to report headache, nausea, and vomiting.
 
  The nurse will counsel the patient to: a. decrease the infusion to 100 ng per minute.
  b. discuss these side effects with the provid-er.
  c. prepare for a hospital admission.
  d. stop the infusion and contact the provider.

[lucas dlamini]

Answer to Question 1

A
Acute otitis externa (OE) can be minimized by keeping the natural defenses of the external audi-tory canal (EAC) healthy. Swimmers should be taught to dry the EAC after showering and swimming. Cleaning the ears with cotton-tipped swabs can remove the cerumen and abrade the epithelium. Removing cerumen removes the natural barrier to infection. Antifungal ear drops are used to treat acute OE but not as a preventive measure.

Answer to Question 2

How great was that.Thank you so much.

Answer to Question 3

Right on time. Thanks a bunch.

Answer to Question 4

Muchas Gracias

Answer to Question 5

B
Headache, nausea, and vomiting are common side effects of epoprostenol and are dose depen-dent. Patients should contact their provider to discuss these side effects and any necessary dosage adjustments. 100 ng per minute is below the maintenance dose range for this patient; patients should not adjust doses without contacting the provider. The side effects are not serious and do not warrant hospitalization. Interruption of the drug can have life-threatening consequences.

[melina_rosy]

Thanks for the timely response, appreciate it

[nothere]

TYSM