Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?
A. Placing the child in the supine position to bottle-feed B. Giving prescribed amoxicillin (Amoxil) on an empty stomach C. Cleaning the inside of the ear canals with cotton swabs D. Avoiding contact with people who have upper respiratory tract infections
Avoiding contact with people who have upper respiratory tract infections
Otitis media is commonly precipitated by an upper respiratory tract infection. Therefore. children prone to otitis should avoid people known to have an upper respiratory tract infection.Option A: A bottle-fed child should be fed in an upright position because feeding the child in the supine position may actually precipitate otitis by allowing the formula to pool in the pharyngeal cavity.Option B: Amoxicillin. when prescribed. should be given with food to prevent stomach upset.Option C: Cotton swabs can cause injuries such as tympanic perforation. They may be used to clean the outer ear. but they should never be inserted into the ear canal.