Question

question 7
1 pts
a 30 - month - old child with no previous history of otitis media awoke during the night with right ear pain. the primary care nurse practitioner notes an axillary temperature of 100.5°f and an erythematous, mild bulging tympanic membrane. what is the recommended treatment for this child?

• an analgesic medication and watchful waiting
• ototopical antibiotic drops twice daily for 5 days
• ceftriaxone 50 to 75 mg/kg/dose im given once
• amoxicillin 80 to 90 mg/kg/day in two divided doses

Explanation:

For a 30 - month - old child with a first episode of otitis media, mild symptoms (axillary temp 100.5°F, mild bulging tympanic membrane), the recommended approach is analgesia (for pain) and watchful waiting. Ototopical drops are not first - line for uncomplicated otitis media. Ceftriaxone IM is for more severe or refractory cases. Amoxicillin at that high dose is for cases where watchful waiting is not appropriate or for more severe infections, but this child has mild symptoms and no prior history, so watchful waiting with analgesia is preferred.

Answer:

A. An analgesic medication and watchful waiting