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?
The child's parent applies the prescribed medication as instructed.
The parent allows their child to attempt to lift their older sibling above the ground.
The child's parent enforces nose blowing only when necessary.
The child's parent states that they developed a plan to have their child use ear plugs in the shower.
The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.
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 C
Explanation
A. Taking ferrous sulfate between meals may actually help reduce the risk of constipation, but this is not the primary reason for timing.
B. Taking the medication with food does not typically increase the risk of esophagitis; rather, it can decrease the absorption of iron.
C. Taking ferrous sulfate between meals allows for optimal absorption of iron, as food can interfere with its absorption. This response accurately explains the rationale for the timing of the medication.
D. While it is true that some patients may experience nausea when taking iron supplements with food, the primary reason for taking it between meals is to enhance absorption rather than to prevent nausea.
Correct Answer is D
Explanation
A. Preparing for immediate surgery is necessary, but the priority intervention is to ensure adequate oxygenation and blood flow through the ductus arteriosus before surgery can be performed.
B. Initiating feeding through a nasogastric tube is not a priority for an infant with this condition, as their immediate need is to address the circulatory issue rather than feeding.
C. Administering oxygen via nasal cannula may provide some relief but is not sufficient as a standalone intervention for transposition of the great vessels, which requires maintaining ductal patency to allow mixing of oxygenated and deoxygenated blood.
D. Administering prostaglandin E1 (PGE1) is the priority intervention, as it helps maintain patency of the ductus arteriosus, allowing for temporary stabilization of the infant’s condition until surgical intervention can be performed.