The nurse is caring for a 1 year old client diagnosed with acute otitis media. The client is experiencing otalgia, has been febrile for 24 hours, and is pulling at his left ear. Which intervention is the priority nursing action?A. Position the child on his left sideB. Administer antibiotic ear dropsC. Administer acetaminophen as prescribedD. Apply a heat pack to the left ear
Question
The nurse is caring for a 1 year old client diagnosed with acute otitis media. The client is experiencing otalgia, has been febrile for 24 hours, and is pulling at his left ear. Which intervention is the priority nursing action?A. Position the child on his left sideB. Administer antibiotic ear dropsC. Administer acetaminophen as prescribedD. Apply a heat pack to the left ear
Solution
The priority nursing action in this case would be C. Administer acetaminophen as prescribed.
Here's why:
A. Position the child on his left side - This might provide some comfort, but it doesn't address the underlying issue or the child's symptoms directly.
B. Administer antibiotic ear drops - While this might be part of the treatment plan for otitis media, antibiotics are typically not the first line of treatment for pain and fever.
C. Administer acetaminophen as prescribed - This is the best choice. Acetaminophen is a pain reliever and a fever reducer. Given the child's symptoms (otalgia and fever), this would be the most immediate need.
D. Apply a heat pack to the left ear - This could potentially provide some relief from the ear pain, but it's not as direct or effective as administering prescribed medication.
Remember, always follow the doctor's orders and the hospital's protocols.
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