Page 1008 - Saunders Comprehensive Review For NCLEX-RN

vasoconstrictors may be prescribed.
4. General interventions
a. The primary health care provider
(PHCP) needs to be consulted
regarding going to school and contact
with others.
b. Instruct the child and parents about the
administration of the prescribed
medications.
c. Instruct in infection control measures
such as good hand washing and not
sharing towels and washcloths.
d. Instruct the child to avoid rubbing the
eye to prevent injury.
e. Instruct a child who is wearing contact
lenses to discontinue wearing them
and to obtain new lenses to eliminate
the chance of reinfection that can occur
from use of the old lenses.
f. Instruct an adolescent that eye makeup
should be discarded and replaced.
g. For additional information, refer to
Centers for Disease Control and
prevention at
https://www.cdc.gov/conjunctivitis/index.html
III. Otitis Media
A. Description
1. An inflammatory disorder usually caused by an
infection of the middle ear occurring as a result of a
blocked eustachian tube, which prevents normal
drainage; can be acute or chronic.
2. Otitis media is a common complication of an acute
respiratory infection (most commonly from
respiratory syncytial virus, influenza, or group A
streptococcus).
3. Infants and children have eustachian tubes that are
shorter, wider, and straighter, which makes them
more prone to otitis media.

B. Prevention

1. Feed infants in an upright position, to prevent reflux.
2. Maintain routine immunizations.
3. Encourage breast-feeding for at least the first 6 months
of life.
4. Avoid exposure to tobacco smoke and allergens.
C. Assessment
1. Fever
2. Acute onset of ear pain

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