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 more indicative of a ruptured tympanic membrane or an external ear infection (otitis externa) rather than otitis media. B. Pain when manipulating the earlobe is associated with otitis externa, not otitis media. C. Erythema and edema of the outer ear may occur with otitis externa but are not common in otitis media, which affects the middle ear. D. Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.