How should a healthcare provider respond to a parent concerned about their child's recurrent ear infections?
- A. Suggest regular use of over-the-counter ear drops
- B. Recommend a thorough evaluation by an ENT specialist
- C. Advise on increased antibiotic use
- D. Encourage avoiding all physical activities
Correct Answer: B
Rationale: When a parent expresses concerns about their child's recurrent ear infections, the best course of action is to recommend a thorough evaluation by an Ear, Nose, and Throat (ENT) specialist. This specialist can conduct a comprehensive assessment to identify the underlying cause of the ear infections and provide appropriate treatment options. Choice A is incorrect because suggesting over-the-counter ear drops without a proper evaluation may not address the root cause of the issue. Choice C is also incorrect as increasing antibiotic use without understanding the specific cause can lead to antibiotic resistance and may not be necessary. Choice D is incorrect as avoiding physical activities is unrelated to addressing recurrent ear infections and is not a recommended approach.
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How should the healthcare provider assist parents of a SIDS infant in coping?
- A. Encourage seeking grief counseling
- B. Remain detached
- C. Alleviate feelings of guilt and blame
- D. Discuss the parents' mistakes
Correct Answer: C
Rationale: Assisting parents of a SIDS infant in coping involves alleviating feelings of guilt and blame, providing emotional support, and offering appropriate counseling. It is crucial to address the parents' emotional well-being and help them cope with the loss. Choice A is not the best answer as it focuses solely on grief counseling, while the primary concern is addressing feelings of guilt and blame. Choice B is inappropriate as remaining detached does not provide the necessary emotional support these parents need. Choice D is incorrect as discussing the parents' mistakes can intensify their feelings of guilt and blame, rather than helping them cope effectively.
What is a common symptom of a respiratory infection in infants?
- A. Wheezing
- B. High appetite
- C. Increased thirst
- D. Lethargy
Correct Answer: A
Rationale: Wheezing is a common symptom of respiratory infections in infants, often associated with coughing and difficulty breathing. It occurs due to the narrowing of the airways. Choice B, 'High appetite,' is incorrect as respiratory infections usually lead to a decrease in appetite rather than an increase. Choice C, 'Increased thirst,' is incorrect as it is not a typical symptom of a respiratory infection in infants. Choice D, 'Lethargy,' can be a symptom of respiratory infections but is not as specific and common as wheezing.
What is the primary treatment for a child with an anaphylactic reaction?
- A. Oral antihistamines
- B. Intravenous fluids
- C. Epinephrine injection
- D. Antipyretics
Correct Answer: C
Rationale: The correct answer is C: Epinephrine injection. An epinephrine injection is the primary treatment for an anaphylactic reaction in children. Epinephrine acts quickly to reverse severe symptoms such as difficulty breathing, low blood pressure, and hives. Oral antihistamines, although useful for milder allergic reactions, are not sufficient to manage the potentially life-threatening symptoms of anaphylaxis. Intravenous fluids may be necessary to support blood pressure in a child with anaphylaxis but are not the primary treatment. Antipyretics, on the other hand, are medications used to reduce fever and are not indicated as the primary treatment for an anaphylactic reaction.
What is an important aspect of managing a child with asthma in a school setting?
- A. Limiting physical activity
- B. Ensuring access to emergency medications
- C. Reducing the number of classes attended
- D. Avoiding interaction with other students
Correct Answer: B
Rationale: The correct answer is B: Ensuring access to emergency medications. In a school setting, it is crucial to have emergency medications available for a child with asthma in case of an asthma attack. This helps in managing asthma effectively and promptly. Choices A, C, and D are incorrect because limiting physical activity, reducing the number of classes attended, and avoiding interaction with other students are not recommended strategies for managing asthma in a school setting. Encouraging physical activity, ensuring regular attendance, and promoting social interactions are important for the overall well-being of a child with asthma.
What is a common sign of developmental dysplasia of the hip (DDH) in infants?
- A. Dislocated patella
- B. Limited abduction of the hip
- C. Swelling of the knee
- D. Hyperextension of the leg
Correct Answer: B
Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.