Exam 106: Drugs for the Ear

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 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?

An 18-month-old child is seen in the clinic with a temperature of 40°C. 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:

The nurse is administering ear drops to a patient with acute bacterial otitis externa. Which procedure would assist drug penetration into the ear canal?

A 2-year-old child is seen in the clinic in July with otalgia, erythematous, bulging tympanic membranes (TMs); and rupture of the right TM. The child also has a temperature of 39.4°C. The child's parent tells the nurse, "This is the fifth ear infection this year. What can we do?" The nurse will expect the provider to:

A provider has told a parent that a 3-year-old child has a minor ear infection and that an antibiotic would be prescribed in a couple of days if the child's symptoms worsened. The parent asks the nurse why the child cannot get an antibiotic today. Which response by the nurse is correct?

A nurse is teaching a parent about the observation strategy for managing a 3-year-old child's ear infection. Which statement by the parent indicates understanding of the teaching?

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 child has been diagnosed with otitis media with effusion (OME), and the child's parent asks the nurse what this means. The nurse will explain that OME is:

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 12-month-old child attends day care and is seen in a clinic for a second middle ear infection since age 8 months. The parent calls the nurse to report that after the third day of giving amoxicillin [Amoxil], the child continues to have a temperature of 39.5°C and is unable to sleep well because of pain. What will the nurse do?

Which are components of otitis externa management?