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A nurse is providing teaching to the parent of a child undergoing tympanostomy tube insertion. Which of the following statements should the nurse include?

A.

“If your child gets water in her ears it will not cause problems.”.

B.

“The tubes will need to be removed every night before bed.”.

C.

“The doctor will replace the tubes every 2 years.”.

D.

“The tubes will fall out on their own, usually.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

This statement is incorrect. While the tubes are designed to allow air to enter the middle ear and prevent fluid buildup, water can still enter through the tubes and potentially cause infections or other complications. Therefore, it is important to take precautions to keep water out of the ears, especially during activities like swimming or bathing.

 

Choice B rationale

 

This statement is incorrect. Tympanostomy tubes are not designed to be removed every night. They are small tubes inserted into the eardrum to allow air to enter the middle ear and prevent fluid buildup. They remain in place until they naturally fall out on their own, which typically happens within 6 to 12 months.

 

Choice C rationale

 

This statement is incorrect. The tubes do not need to be replaced every 2 years. Tympanostomy tubes usually fall out on their own within 6 to 12 months. If they do not fall out naturally, a healthcare provider may need to remove them. However, routine replacement every 2 years is not necessary.

 

Choice D rationale

 

This statement is correct. Tympanostomy tubes are designed to fall out on their own, usually within 6 to 12 months after insertion. This natural process allows the eardrum to heal without the need for additional surgical intervention.

 


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Correct Answer is D

Explanation

Choice A rationale

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Choice B rationale

Malignant melanoma is a more aggressive form of skin cancer that often appears as a new, unusual growth or a change in an existing mole.

Choice C rationale

Squamous cell carcinoma typically appears as a firm, red nodule or a flat lesion with a scaly, crusted surface.

Choice D rationale

Basal cell carcinoma often appears as a raised, flesh-colored lesion with pearly and waxy borders. It is the most common type of skin cancer and typically occurs in areas exposed to the sun.

Correct Answer is A

Explanation

Choice A rationale

Administering the medications 5 minutes apart ensures that each medication has enough time to be absorbed without interference from the other. This practice helps to maximize the effectiveness of both medications and reduces the risk of adverse interactions.

Choice B rationale

Touching the tip of the dropper to the sclera of the eye can introduce contaminants and increase the risk of infection. It is important to avoid contact between the dropper and the eye to maintain sterility.

Choice C rationale

Holding pressure on the conjunctival sac for 2 minutes is not necessary for the administration of timolol and pilocarpine eye drops. This practice is more commonly recommended for other types of eye medications to increase absorption.

Choice D rationale

Contact lenses should be removed before administering eye drops to prevent contamination and ensure proper absorption of the medication. Wearing contact lenses during administration can interfere with the effectiveness of the drops.

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