Question

question 8
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?
○ ceftriaxone 50 to 75 mg/kg/dose im given once
○ ototopical antibiotic drops twice daily for 5 days
○ amoxicillin 80 to 90 mg/kg/day in two divided doses
● an analgesic medication and watchful waiting

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 watchful waiting with analgesia. Antibiotics are not immediately indicated for mild cases in children over 2 years with no prior history. Ceftriaxone IM is for severe cases, ototopical drops are for specific ear infections (not typical acute otitis media initial management), and high - dose amoxicillin is for more severe or recurrent cases. So the correct option is the one with analgesic and watchful waiting.

Answer:

An analgesic medication and watchful waiting