NCLEX New Generation Case Study Guide Test.
1.
2. The nurse working at the
Options for 1 No sick
outpatient pediatric clinic is
contacts Ear pain without
perform-ing an ad- mission
fever Attends full school
assessment for a 7-year-old
days
child who is ac-companied by
Left auricle is nontender to manipulation
their parent. The child reports
Options for 2
right ear
pain for 3 days. The nurse documents Denies neck stittness
the following assessment Immunizations up-to-date
findings. Health History Swimming daily for the past
Nurses' Notes Vital Signs week Lack of nasal drainage or
Diagnostic Results throat pain Options for 3
Reports right ear pain × 3 Denies cough No lymphoadenop-athy
days de- scribed as constant, Tenderness on manipulation of right auricle
aching, nonra- diating; denies
dry mucous mem-
branes, eye drainage, nasal drainage, Lung sounds clear to auscultation
bilaterally
or throat pain; oropharynx
pink, moist, with no redness,
swelling, ex- udate
Reports no sick contacts and
has been attending full days of
school; reports swimming
daily for the past week Denies
neck stiffness; no
swelling of the neck, or swollen
lymph nodes
Denies cough, wheezing,
difficulty breathing; lung sounds
, NCLEX New Generation Case Study Guide Test.
clear Tender- ness noted on
palpation and manip- ulation of
right auricle with ear canal
erythema; no discharge; left
auricle nontender
Immunizations up-to-date
Allergies: No known allergies
, NCLEX New Generation Case Study Guide Test.
Health History Nurses' Notes
Vital Signs
Weight: 55 lb (59th percentile) Height:
49.25 inches (55th percentile) BMI:
15.94 (58th percentile) T: 97.9°F
(36.6°C) temporal HR: 98 BPM
RRs: 18 bpm
BP: 108/70 mm Hg
Clinical findings noted in the
assess- ment that point to otitis
externa in- clude
3. Rationale for the Previous Question Otitis externa is also known as swimmer's ear
and is
associated with inflam-mation and possibly
exudate in the external auditory canal. Otitis
externa is con- firmed when there are no
other disorders such as otitis media or
mastoiditis. Fever is usually absent, and
hearing is unattected. Often there is tenderness
on palpation of the tragus and manipulation
of the auricle. The lining of the canal is
erythematous and edematous, and discharge
may be seen. Another factor that suggests
otitis externa is that the child has been
swimming daily for the past week. The other
findings noted are not risk factors for this
problem. Attending full school days heightens
the risk for oti- tis media, which can occur
secondary to an upper respiratory infection.
4. Client Finding Otitis Externa Ear
, NCLEX New Generation Case Study Guide Test.
pain
No
fever
No sick contacts
Swimming daily for the past week
1.
2. The nurse working at the
Options for 1 No sick
outpatient pediatric clinic is
contacts Ear pain without
perform-ing an ad- mission
fever Attends full school
assessment for a 7-year-old
days
child who is ac-companied by
Left auricle is nontender to manipulation
their parent. The child reports
Options for 2
right ear
pain for 3 days. The nurse documents Denies neck stittness
the following assessment Immunizations up-to-date
findings. Health History Swimming daily for the past
Nurses' Notes Vital Signs week Lack of nasal drainage or
Diagnostic Results throat pain Options for 3
Reports right ear pain × 3 Denies cough No lymphoadenop-athy
days de- scribed as constant, Tenderness on manipulation of right auricle
aching, nonra- diating; denies
dry mucous mem-
branes, eye drainage, nasal drainage, Lung sounds clear to auscultation
bilaterally
or throat pain; oropharynx
pink, moist, with no redness,
swelling, ex- udate
Reports no sick contacts and
has been attending full days of
school; reports swimming
daily for the past week Denies
neck stiffness; no
swelling of the neck, or swollen
lymph nodes
Denies cough, wheezing,
difficulty breathing; lung sounds
, NCLEX New Generation Case Study Guide Test.
clear Tender- ness noted on
palpation and manip- ulation of
right auricle with ear canal
erythema; no discharge; left
auricle nontender
Immunizations up-to-date
Allergies: No known allergies
, NCLEX New Generation Case Study Guide Test.
Health History Nurses' Notes
Vital Signs
Weight: 55 lb (59th percentile) Height:
49.25 inches (55th percentile) BMI:
15.94 (58th percentile) T: 97.9°F
(36.6°C) temporal HR: 98 BPM
RRs: 18 bpm
BP: 108/70 mm Hg
Clinical findings noted in the
assess- ment that point to otitis
externa in- clude
3. Rationale for the Previous Question Otitis externa is also known as swimmer's ear
and is
associated with inflam-mation and possibly
exudate in the external auditory canal. Otitis
externa is con- firmed when there are no
other disorders such as otitis media or
mastoiditis. Fever is usually absent, and
hearing is unattected. Often there is tenderness
on palpation of the tragus and manipulation
of the auricle. The lining of the canal is
erythematous and edematous, and discharge
may be seen. Another factor that suggests
otitis externa is that the child has been
swimming daily for the past week. The other
findings noted are not risk factors for this
problem. Attending full school days heightens
the risk for oti- tis media, which can occur
secondary to an upper respiratory infection.
4. Client Finding Otitis Externa Ear
, NCLEX New Generation Case Study Guide Test.
pain
No
fever
No sick contacts
Swimming daily for the past week
