Question

In: Nursing

Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear...

Otitis Media

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

What else should you ask the client?

What teaching would you reinforce to prevent the recurrence of otitis media?

What expected outcomes would be specific to this situation?

Expert Solution

The nurse must as the client about the risk factors and associated symptoms.

Ask about:

Allergies: frequency and allergens
A cold: blowing habits while having cold
Flu
Sinus infection
Assess for infected or enlarged adenoids
Exposure to cigarette smoke
exposure to high levels of air pollution
Recent travel with changes in altitude
Experiencing changes in climate
Cold climate
having had a recent cold, flu outcome
The family history of OM: genetics also plays a role in increasing the risk of Acute OM.

Check for associated symptoms: Common head and neck symptoms of AOM

Otalgia – Characteristics of pain
Otorrhea - Discharge from the ear due to perforation or rupture of the tympanic membrane
A headache
Symptoms associated with recent upper respiratory infection (URI)

Preventive teaching

Regular hand washing

Wash the toys regularly

Avoid exposure of cigarette smoke

Seasonal flu shots

Pneumococcal vaccines : help to fight the commonest causes of AOM, pneumococcus

Teach gentle blowing technique

Proper nutrition to improve general health

Avoid allergens

Outcome:

The outcome of AOM will vary depending on the severity of the disease.

AOM may resolve by its own in non-complicated cases without antibiotics

Regular follow up to assess for progression of the disease is necessary

Moderate to severe cases with the same degree of pain may be treated with antibiotic

The possible complications are: mastoiditis, cholesteatoma, labyrinthitis, facial paralysis, meningitis, epidural abscess, lateral sinus thrombophlebitis, brain abscess

Nightingale answered 2 years ago

Written Assignment - Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints...

Written Assignment - Otitis Media An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging. Answer the following questions: What else should you ask the client? What teaching would you reinforce to prevent the recurrence of otitis media? What expected outcomes would be specific to this situation?

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for...

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging. Answer the following questions: What else should you ask the client? What teaching would you reinforce to prevent the recurrence of otitis media? What expected outcomes would be specific to this situation?

A 2-year-old girl has been brought to the ambulatory clinic by her mother who states, “She's...

A 2-year-old girl has been brought to the ambulatory clinic by her mother who states, “She's put a pea in her ear, and I think she did it 2 days ago because that was the last time we ate them.” The nurse's otoscopic examination confirms the presence of this foreign body in the girl's middle ear. How should the nurse best respond to this assessment finding?

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with complaints of chronic fatigue, increased...

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-thecounter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, “By the...

A 56-year-old Asian patient comes to the outpatient clinic with complaints of mild chest pain. When...

A 56-year-old Asian patient comes to the outpatient clinic with complaints of mild chest pain. When assessing this patient, the nurse must take into account the cultural characteristics of people of Asian descent. What are three culturally mediated characteristics that are important in caring for adults of various cultures?

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent...

M.K. is a 22-year-old male who comes to the health care provider for complaints of frequent diarrhea and abdominal pain. He had appendicitis with appendectomy at age 9. He currently takes no medications. Subjective Data Frequently has abdominal pain and diarrhea Objective Data Physical Examination Temperature 99.9° F, pulse 78, respirations 16, blood pressure 114/62 Height 5’3”, weight 100 lb, BMI 17.7 kg/m2 Diagnostic Studies Lab values WBC 11,600/µL RBC 3.4 million/µL Hematocrit 33% Hemoglobin 10 g/dL Platelets ...

Christina is an 8-year-old girl who had been taking ampicillin for an ear infection. Seven days...

Christina is an 8-year-old girl who had been taking ampicillin for an ear infection. Seven days ago, she had an anaphylactic reaction to the ampicillin, was brought to the Emergency Department by her parents, and admitted to the Pediatric Intensive Care Unit where she was stabilized. Five days after admission, Christina developed oliguria and her serum BUN and creatinine levels are as follows: BUN: 42 - Creatinine: 2.1 *Discuss the pathophysiology of why Christina's renal system is reacting this way....

The 8-year-old girl who was naughty. 8-year-old girl brought to her pediatrician by her 26-year-old mother...

The 8-year-old girl who was naughty. 8-year-old girl brought to her pediatrician by her 26-year-old mother • Chief complaint: fever and sore throat Psychiatric History • While evaluating the patient for an upper respiratory infection, the pediatrician asks if school is going well • The patient responds “yes” but in the background the mother shakes her head “no” • The mother states that her daughter is negative and defi ant at home and she has similar reports, mostly of disobedience,...

A 5-year-old girl has come to your clinic with terrible cold. Identify the behavioral objectives that...

A 5-year-old girl has come to your clinic with terrible cold. Identify the behavioral objectives that you will teach her in order to avoid spreading her cold to the rest of her family.

.You are working at the UENR clinic and a 28-year-old student comes to the clinic complaining...

.You are working at the UENR clinic and a 28-year-old student comes to the clinic complaining of a headache and blurry vision. While obtaining assessment information, you discover his blood pressure to be 150/96mmHg. You continue to obtain assessment information and discover that he has been staying up late to get his assignments completed by drinking caffeinated energy drinks. A. What additional assessment data would you gather from this patient? B. What will be your priority plan of action?