selected discussion question and submit your response to this Discussion Area . Be sure to respond to the question using the lessons and vocabulary found in the reading .
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6005 Week 10 Assignment 1
Discussion Latest SU
Select
one of the two questions from the discussion questions listed below .By Week
10, Day 3, respond to the selected discussion question and submit your response
to this Discussion Area .
Be
sure to respond to the question using the lessons and vocabulary found in the
reading .Justify your answers using examples and reasoning .Support your
answers with examples and research and cite your research using APA format .
Start
reviewing and responding to the postings of your classmates as early in the
week as possible .Respond to at least two of your classmates\’ posts .Participate in
the discussion by asking a question, providing a statement of clarification,
providing a point of view with a rationale, challenging an aspect of the
discussion, or indicating a relationship between two or more lines of reasoning
in the discussion .
Discussion
Question 1
SJ
is a sixteen-month-old boy who is brought to the clinic with a one-day history
of tugging at his right ear and crying and a two-day history of decreased
appetite, decreased playfulness, and difficulty sleeping .His mother has
documented a fever, so she has been giving him 5 mL of ibuprofen every twelve
hours .He was diagnosed with acute otitis media (AOM) at the age of four
months; he has had the same diagnosis three times since .On physical exam, his
vital signs are normal with the exception of a temperature of 102°F .His weight is 10 kg
.Both tympanic membranes (TMs) are erythematous, with the right one more than
the left one .The right TM is bulging with limited mobility, copious cerumen,
and purulent fluid behind the TM .The left TM appears normal .The right TM
landmarks are difficult to visualize .Answer the following questions:
Of
the information provided, what data support the diagnosis of AOM and what would
be inconclusive?
How
would you distinguish AOM and otitis media with effusion (OME)?
What
treatment would you suggest?
What
types of cautions or instructions would you provide to his mother?
Discussion
Question 2
Administration
of ophthalmological medications requires some explanation .What are the
important points that you would review with a patient when teaching how to
instill ophthalmic drops and when teaching how to instill ointment? What are
the differences you would need to consider if the patient was a child or if the
patient is a geriatric patient? Search the literature to see whether you are
able to locate any guidelines to support this teaching .
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