Frequent swallowing following a tonsillectomy is indicative of:
What is hemorrhage?
100
A nurse is preparing a 4-year-old client for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out before our follow-up visit. The nurse should give the parent what direction.
What is Call the health care clinic to report that the tubes have fallen out?
100
When gathering a history of an infant that presents with signs and symptoms of otitis media, it is essential to ask about this type of history, as characteristics such as smoking increase the child's risk of developing acute otitis media.
What is an environmental history?
100
This is the most common intracranial complication of otitis media. It is most commonly caused by Strep pneumonia and spreads from the ear to the temporal bone. Symptoms include fever, confusion, and nucal rigidity.
What is meningitis?
200
What does the outer ear consist of?
What is Pinna and ear canal?
200
An infection occurring next to the palatine tonsils.
What is peritonsillar abscess?
200
These are placed due to complications of otitis media, which include severe retraction of the tympanic membrane and multiple infections that have not been controlled with antibiotics.
What are pressure equalizing tubes? (Myringotomy tubes)
200
A 9-month-old child who had 3 episodes of otitis media during the winter presents for his health supervision visit. On physical exam, you note bilaterally transparent tympanic membranes with good landmarks but see bubbles behind the membranes and note no mobility on pneumatic otoscopy. The child is otherwise healthy, and results of developmental screening are appropriate for his age. What is the next best step?
What is reassess in 1 month?
200
A nurse is caring for a child that is having a grand mal seizure and vomiting. What is the priority nursing action?
What is position the child in side-lying position?
300
A reddish-brown wax formed in the auditory meatus.
What is cerumen?
300
Another name for adenoids, frequently removed with the tonsils.
What is pharyngeal tonsil?
300
The child is not reaching developmental milestones for language development and has had more than 5 episodes in one year of otitis media.
What is need for intervention and referral to an ENT?
300
When gathering a history, it is important to know a patient's antibiotic usage for this reason.
What is some antibiotics have ototoxic side effects?
300
A nurse is performing a physical assessment of a 4-month-old infant. What clinical manifestation is suggestive of a central nervous system infection.
What is a bulging anterior fontanel?
400
The ear works with the nervous system because of its ability to help a person:
What is hear and balance?
400
Name 3 things to avoid post tonsillectomy.
What is using a straw, coughing, clearing throat, blowing nose, "sharp" foods, spicy foods, ASA, NSAIDS?
400
Antibiotics are not prescribed for otitis media with effusion when these things are not present.
What is severe illness, irritability, and the child over the age of 2?
400
What is the most critical element of pediatric emergency care?
What is airway management?
400
A nurse is caring for a child with a suspected diagnosis of bacterial meningitis. What is the priority action by the nurse.
What is administer the antibiotic?
500
Another name for the ear drum.
What is tympanic membrane?
500
A child with increased conversion of codeine to morphine by the liver.
What is ultra-rapid metabolizer?
500
This connects the middle ear to the throat/nasopharnyx.
What is the Eustachian tube?
500
A child is brought to the emergency department. When he is called to triage, which vital sign should be measured first?
What is respiratory rate?
500
What is the priority goal for the child with a chronic illness?
What is to obtain the highest level of health and function possible?