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Week 10 – Assignment
1 Discussion

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.