Quiz #4 Study Guide Please review the following topics for the 4 th quiz. Please note: questions for this quiz were not just taken from the Review PowerPoints that I have been using in the class-material from the individual chapters may also be used to formulate the test questions. 1.) Nursing care relating to child with otitis media otitis media occurs less frequently in children 7 years or older, they tend to be more prevalent in house in which smokers live. The infection is usually preceded by a viral infection which then develops into a bacterial infection cause otitis. - Nursing care for the child with a middle ear infection is as follows: provide pain relief with acetaminophen (and ibuprofen if child <6 y/o), facilitate drainage when possible ( if the ear is draining facilitate this by cleaning with sterile swabs coupled with topic antibiotic if drainage is so bad that it is soiling the auricle make sure to clean and apply protective barriers appropriately), prevent complications and re-occurrence, educating family.--> ( wearing earplugs might provide a slight decrease in the infection rate, in addition parents should be aware of the appearance of the tube so they can know if it falls out, make sure that you know, also they should be aware of the antibiotic therapy has to be taken completely to prevent re surfacing of the infection, they should also know that complications of OM can cause permanent scarring, and hearing loss that can be prevented by follow up treatment. - What are risk factors for OM: The infection is usually caused by Strep Pneumo, H. influenza, M. Catharris. Predisposing factors for otitis media are Down syndrome, URI, allergies, cleft palate, day care attendance, second hand smoke, and bottle propping during feedings. - Family teaching would you want to provide: provide the parent with a through explanation of way to prevent otitis media such as: sitting the infant upright through feedings, breastfeeding exclusively for the first 6 months of age, prevention of propping bottles in order to avoid a pooling of milk while the child is supine, to promote human contact with the child. In addition, avoid washing the child’s hair with bathtub water (use fresh from tap while the child is sitting), avoid exposing child to water that contains pathogens (such as stagnant pool water), and reduce the amount of allergens in the environment (such as smoke), as well as testing for middle ear effusion (specially for parents with children with learning disabilities) 2.) Review what asthma is: A chronic respiratory disorder of the airways that is characterized by recurring symptoms, airway obstruction, and bronchial hyper-responsiveness. Inflammation causes concurrent episodes of wheezing, breathlessness, chest tightness, and cough especially at night and early morning. Classified into four categories based on the severity of the symptoms
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- Fall '15
- Otitis Media Otitis, infection cause otitis