An 18-Month-Old Child with No Previous History of Otitis Media

question 4

Multiple Choice

An 18-month-old child with no previous history of otitis media awoke during the night with right ear pain. The primary care pediatric nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, bulging tympanic membrane. A tympanogram reveals of peak of +150 mm H₂O. What is the recommended treatment for this child?

• A) Amoxicillin 80 to 90 mg/kg/day in two divided doses
• B) An analgesic medication and watchful waiting
• C) Ceftriaxone 50 to 75 mg/kg/dose IM given once
• D) Ototopical antibiotic drops twice daily for 5 days

---

Definitions:

Incongruent Organizational Systems

Describe the lack of alignment or compatibility between various systems within an organization, leading to inefficiencies or conflicts.

Organizational Systems

The complex set of interrelated elements, including structures, processes, and practices, that define how work is conducted within an organization.

Internal

Pertaining to or occurring within an organization or entity.

Restraining Forces

Forces that counteract change in an organization by maintaining the status quo.