A mother brings her 15-month-old male child to the ambulatory care clinic for well-child care. He’s crying and pulling at his left ear, which appears erythematous. Which of the following actions should the nurse take first
A. Ask the mother to leave the room because her anxiety is increasing the child’s distress.
B. Examine the ear with the child supine because this aids visualization of the tympanic membrane.
C. Examine the affected ear last in order to minimize distress early in the examination.
D. Examine the left ear first in order to assess what may be physically wrong with the chil
参考答案：C
解析：The suggested sequence of a well-child exam changes when the child is in pain. In this case, it’s preferable to examine the affected area last in order to minimize distress early in the examination and to focus on normal, healthy body parts. Parental presence is almost always conducive to a child’s cooperation and sense of security. Examination of the ear in an upright position is preferable, especially in a crying child; it’s less frightening for the child and decreases the bulging of the tympanic membrane from crying.