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    Ati paediatrics nursing assessment proctored exam

    A nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. The parent asks the nurse, "What should I do if the tubes fall out?" Which of the following responses should the nurse make?

    Explanation & Rationale

    A. "Gently put the tubes back into the child's ears." Parents should not attempt to reinsert tubes, as this could cause damage. B. "Bring the child to the emergency department immediately." This is unnecessary unless the child has acute symptoms like severe ear pain, bleeding, or signs of infection. C. "Notify the provider that the tubes have fallen out." Tympanostomy tubes can sometimes fall out spontaneously. The provider needs to assess whether reinsertion is necessary based on the child's history of infections and hearing concerns. D. "The tubes are sutured in place and must be surgically removed." Tubes are not sutured. They typically fall out on their own as the ear heals.

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