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A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective?

A.

The child's parent applies the prescribed medication as instructed.

B.

The parent allows their child to attempt to lift their older sibling above the ground.

C.

The child's parent enforces nose blowing only when necessary.

D.

The child's parent states that they developed a plan to have their child use ear plugs in the shower.

E.

The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

Question Solution

Correct Answer : A,C,D,E

A. The parent applying prescribed medication as instructed indicates proper understanding of post-operative care and adherence to treatment.  

 

B. Allowing the child to lift their older sibling above the ground is inappropriate as it can lead to increased pressure on the ear, risking complications.  

 

C. Enforcing nose blowing only when necessary is a correct action since excessive force can displace the tympanoplasty tube or introduce bacteria into the ear.  

 

D. Planning to have the child use ear plugs in the shower is an effective precaution to protect the ears from water exposure, which is essential post-surgery.  

 

E. Reporting purulent drainage immediately to the surgeon shows awareness of potential complications and the need for prompt medical attention.


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Correct Answer is A

Explanation

A. It is recommended to replace the child's toothbrush after 24 hours of starting antibiotics to prevent reinfection or spreading the bacteria.

B. A child with acute group A B-hemolytic streptococci should remain home from school until they have been on antibiotics for at least 24 hours, not for a full week, to reduce the risk of spreading the infection.

C. Warm compresses may be used to alleviate discomfort associated with sore throats or swollen glands; there is no contraindication to their use in this context.

D. Intramuscular injections are not a standard treatment for this condition; antibiotics are typically administered orally unless there are complications requiring different management.

Correct Answer is B

Explanation

A. A stool fat content analysis can suggest malabsorption issues but does not specifically confirm cystic fibrosis.

B. The sweat chloride test measures the amount of chloride in the sweat, with elevated levels confirming a diagnosis of cystic fibrosis.

C. Pulmonary function tests assess lung function but are not definitive for diagnosing cystic fibrosis.

D. A sputum culture can identify respiratory infections but is not specific for cystic fibrosis diagnosis.

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