A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

A. Clear drainage from the ear is not typical of otitis media; it may indicate otitis externa, trauma, or a cerebrospinal fluid leak. It is important to differentiate the type of drainage for accurate diagnosis. B. Erythema (redness) and edema (swelling) of the tympanic membrane or external ear canal are classic signs of middle ear inflammation caused by bacterial or viral infection. These findings are often accompanied by fever and irritability. C. Tugging or pulling at the affected ear is a common behavioral indicator of discomfort in infants and young children, reflecting the irritation and pressure in the middle ear. D. Pain when manipulating the ear is expected because the inflamed middle ear and surrounding tissues are tender. Gentle pressure or movement of the ear can exacerbate discomfort, which helps differentiate otitis media from other conditions.