A nurse is teaching a parent how to administer antibiotics at home to a toddler with acute otitis media. Which
statement by the parent indicates that teaching has been successful?
a) "I'll give the antibiotics for the full 10-day course of treatment."
b) "I'll give the antibiotics until my child's ear pain is gone."
c) "If the ear pain is gone, there's no need to see the physician for another examination of the ears."
d) "Whenever my child is cranky or pulls on an ear, I'll give a dose of antibiotics."
Which statement by the parent of a child with otitis media indicates an understanding of the nurse’s discharge
instructions about the use of antibiotics?
a) “I’ll give the antibiotics when my child has ear pain.”
b) “I’ll put antibiotics in the affected ear.”
c) “I’ll give my child the full course of antibiotics.”
d) “I’ll stop the antibiotics when my child no longer has ear pain.”
A mother asks the nurse why her 12-month-old baby gets otitis media more frequently than her 10-year-old son.
What should the nurse tell her?
a) "The baby is too young to blow his nose when he has a cold."
b) "The baby spends more time lying down than his older brother; therefore, more dirt gets in the
baby's ear."
c) "The baby puts dirty toys in his mouth."
d) "The baby's eustachian tubes are shorter and lie more horizontally."
Infants and young children are more prone to otitis media because their eustachian tubes are shorter and lie
more horizontally. Pathogens from the nasopharynx can more readily enter the eustachian tube of the middle
ear. The inability to clear nasal passages by blowing the nose, lying down on the floor, and putting dirty toys in
the mouth don’t increase the tendency toward otitis media.
A 1-year-old child is brought to the emergency department with a mild respiratory infection and a temperature
of 101.3° F (38.5° C). Otitis media is diagnosed. Which sign would the nurse also expect to find?
a) High-pitched, barking cough
b) Pearl-gray tympanic membrane
, c) Tugging on the ears
d) Excessive drooling
Tugging on the ears is a common sign for a child with ear pain. Pearl-gray tympanic membranes are normal. A
child with otitis media usually exhibits a discolored membrane (bright red, yellow, or dull gray). A high-pitched
barking cough and excessive drooling indicate croup.
A toddler develops acute otitis media and is ordered cefpodoxime proxetil 5 mg/kg P.O. every 12 hours. If the
child weighs 22 lb (10 kg), how many milligrams will the nurse administer with each dose?
a) 220 mg
b) 50 mg
c) 100 mg
d) 110 mg
A nurse is preparing to instill ear drops in a 28-year-old client with otitis externa. What is the correct procedure
for instillation?
a) Pull the pinna up and back
b) Separate the palpebral fissures with a clean gauze pad
c) Pull the pinna down and back
d) Pull the tragus up and back
An 18-month-old is diagnosed with otitis media, and his mother asks what she can do to help ease his pain.
Which medication would the nurse anticipate for pain relief?
a) Children’s chewable acetylsalicylic acid one 80/mg q4h
b) Amoxicillin trihydrate 20 mg/kg p0 q8h
c) Children’s liquid acetaminophen 5/ml q4h
d) Cetirizine 1.3 ml q4h
The parents report that their child has a runny nose, fever, and cough and is irritable and constantly rubbing his
ears. When assessing the ear, how should the nurse expect the child's tympanic membrane to appear
a) scarred
b) bulging and red
c) clear and inverted
d) pearly gray
,A nurse is teaching a group of parents about otitis media. When discussing why children are predisposed to this
disorder, the nurse should mention the significance of which anatomical feature?
a) Tympanic membrane
b) External ear canal
c) Eustachian tubes
d) Nasopharynx
A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis. Which
statement by the parents indicates effective discharge teaching?
a) "We'll go to the physician if our child pulls on the ears or won't lie down."
b) "We're just so glad this is all behind us."
c) "We'll take our child to the physician's office every week until everything is okay."
d) "We should have gone to the physician sooner. Next time, we will."
The parents indicate full understanding of discharged teaching by repeating the specific, common signs of otitis
media in toddlers. such as pulling on the ears and refusing to lie down. and by verbalizing the need for
immediate follow-up care if these signs arise. Option A implies a sense of guilt. Option B addresses only weekly
follow-up care. Option D is unrealistic because the child's condition may recur.
Which assessment finding puts a client at increased risk for epistaxis?
a) History of nasal surgery
b) Use of a humidifier at night
c) Hypotension
d) Cocaine use
What is the priority nursing measure for a client with von Willebrand’s disease who is having epistaxis?
a) Lay the client supine
b) Avoid packing the nostrils
c) Avoid pressure to the nose
d) Apply pressure to the nose
A client is admitted to the emergency department with severe epistaxis. The health care provider inserts
posterior packing. Later, the client is anxious and says they do not feel they are breathing right. Which nursing
action is priority?
a) Cut the packing strings and remove the packing
b) Ask the client to fully explain what they mean by “right”
, c) reassure the client that what they are experiencing is normal
d) Use a flashlight and inspect the client’s posterior oral cavity
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client
to:
a) hold his nose while bending forward at the waist.
b) lie supine with his neck extended.
c) sit upright, leaning slightly forward.
d) blow his nose and then put lateral pressure on his nose.
The nurse is caring for a teen-aged client with a suspected cardiac defect.
History and physical
10/15/16
1630
Fifteen-year-old male, admitted to unit at 1415. Reporting headache. Epistaxis just prior to admission. Resting
quietly. Blood pressure 120/76 on right arm, 172/98 on left arm, 84/46 on right leg. Pulses +3 in bilaterally in
arms and legs.
The nurse suspects coarctation of the aorta when the history and physical reveal which findings? Select all they
apply.
a) Blood pressure of 172/98 mmHg in the left arm
b) Blood pressure of 84/46 mmHg in the right leg
c) +3 pulses in both arms
d) +3 pulses in both legs
e) Warm, flushed skin
f) Reports headache and nosebleed
Which statement obtained from the nursing history of a toddler should alert the nurse to suspect that the child
has had a febrile seizure?
a) The child has had a low-grade fever for several weeks.
b) The seizure resulted in respiratory arrest.
c) The family history is negative for convulsions.
d) The seizure occurred when the child had a respiratory infection.
statement by the parent indicates that teaching has been successful?
a) "I'll give the antibiotics for the full 10-day course of treatment."
b) "I'll give the antibiotics until my child's ear pain is gone."
c) "If the ear pain is gone, there's no need to see the physician for another examination of the ears."
d) "Whenever my child is cranky or pulls on an ear, I'll give a dose of antibiotics."
Which statement by the parent of a child with otitis media indicates an understanding of the nurse’s discharge
instructions about the use of antibiotics?
a) “I’ll give the antibiotics when my child has ear pain.”
b) “I’ll put antibiotics in the affected ear.”
c) “I’ll give my child the full course of antibiotics.”
d) “I’ll stop the antibiotics when my child no longer has ear pain.”
A mother asks the nurse why her 12-month-old baby gets otitis media more frequently than her 10-year-old son.
What should the nurse tell her?
a) "The baby is too young to blow his nose when he has a cold."
b) "The baby spends more time lying down than his older brother; therefore, more dirt gets in the
baby's ear."
c) "The baby puts dirty toys in his mouth."
d) "The baby's eustachian tubes are shorter and lie more horizontally."
Infants and young children are more prone to otitis media because their eustachian tubes are shorter and lie
more horizontally. Pathogens from the nasopharynx can more readily enter the eustachian tube of the middle
ear. The inability to clear nasal passages by blowing the nose, lying down on the floor, and putting dirty toys in
the mouth don’t increase the tendency toward otitis media.
A 1-year-old child is brought to the emergency department with a mild respiratory infection and a temperature
of 101.3° F (38.5° C). Otitis media is diagnosed. Which sign would the nurse also expect to find?
a) High-pitched, barking cough
b) Pearl-gray tympanic membrane
, c) Tugging on the ears
d) Excessive drooling
Tugging on the ears is a common sign for a child with ear pain. Pearl-gray tympanic membranes are normal. A
child with otitis media usually exhibits a discolored membrane (bright red, yellow, or dull gray). A high-pitched
barking cough and excessive drooling indicate croup.
A toddler develops acute otitis media and is ordered cefpodoxime proxetil 5 mg/kg P.O. every 12 hours. If the
child weighs 22 lb (10 kg), how many milligrams will the nurse administer with each dose?
a) 220 mg
b) 50 mg
c) 100 mg
d) 110 mg
A nurse is preparing to instill ear drops in a 28-year-old client with otitis externa. What is the correct procedure
for instillation?
a) Pull the pinna up and back
b) Separate the palpebral fissures with a clean gauze pad
c) Pull the pinna down and back
d) Pull the tragus up and back
An 18-month-old is diagnosed with otitis media, and his mother asks what she can do to help ease his pain.
Which medication would the nurse anticipate for pain relief?
a) Children’s chewable acetylsalicylic acid one 80/mg q4h
b) Amoxicillin trihydrate 20 mg/kg p0 q8h
c) Children’s liquid acetaminophen 5/ml q4h
d) Cetirizine 1.3 ml q4h
The parents report that their child has a runny nose, fever, and cough and is irritable and constantly rubbing his
ears. When assessing the ear, how should the nurse expect the child's tympanic membrane to appear
a) scarred
b) bulging and red
c) clear and inverted
d) pearly gray
,A nurse is teaching a group of parents about otitis media. When discussing why children are predisposed to this
disorder, the nurse should mention the significance of which anatomical feature?
a) Tympanic membrane
b) External ear canal
c) Eustachian tubes
d) Nasopharynx
A 15-month-old child is being discharged after treatment for severe otitis media and bacterial meningitis. Which
statement by the parents indicates effective discharge teaching?
a) "We'll go to the physician if our child pulls on the ears or won't lie down."
b) "We're just so glad this is all behind us."
c) "We'll take our child to the physician's office every week until everything is okay."
d) "We should have gone to the physician sooner. Next time, we will."
The parents indicate full understanding of discharged teaching by repeating the specific, common signs of otitis
media in toddlers. such as pulling on the ears and refusing to lie down. and by verbalizing the need for
immediate follow-up care if these signs arise. Option A implies a sense of guilt. Option B addresses only weekly
follow-up care. Option D is unrealistic because the child's condition may recur.
Which assessment finding puts a client at increased risk for epistaxis?
a) History of nasal surgery
b) Use of a humidifier at night
c) Hypotension
d) Cocaine use
What is the priority nursing measure for a client with von Willebrand’s disease who is having epistaxis?
a) Lay the client supine
b) Avoid packing the nostrils
c) Avoid pressure to the nose
d) Apply pressure to the nose
A client is admitted to the emergency department with severe epistaxis. The health care provider inserts
posterior packing. Later, the client is anxious and says they do not feel they are breathing right. Which nursing
action is priority?
a) Cut the packing strings and remove the packing
b) Ask the client to fully explain what they mean by “right”
, c) reassure the client that what they are experiencing is normal
d) Use a flashlight and inspect the client’s posterior oral cavity
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client
to:
a) hold his nose while bending forward at the waist.
b) lie supine with his neck extended.
c) sit upright, leaning slightly forward.
d) blow his nose and then put lateral pressure on his nose.
The nurse is caring for a teen-aged client with a suspected cardiac defect.
History and physical
10/15/16
1630
Fifteen-year-old male, admitted to unit at 1415. Reporting headache. Epistaxis just prior to admission. Resting
quietly. Blood pressure 120/76 on right arm, 172/98 on left arm, 84/46 on right leg. Pulses +3 in bilaterally in
arms and legs.
The nurse suspects coarctation of the aorta when the history and physical reveal which findings? Select all they
apply.
a) Blood pressure of 172/98 mmHg in the left arm
b) Blood pressure of 84/46 mmHg in the right leg
c) +3 pulses in both arms
d) +3 pulses in both legs
e) Warm, flushed skin
f) Reports headache and nosebleed
Which statement obtained from the nursing history of a toddler should alert the nurse to suspect that the child
has had a febrile seizure?
a) The child has had a low-grade fever for several weeks.
b) The seizure resulted in respiratory arrest.
c) The family history is negative for convulsions.
d) The seizure occurred when the child had a respiratory infection.
