Final answer:
In a suspected case of otitis media in a 15-month-old child, an RN would anticipate findings such as irritability, rhinorrhea, and a bulging tympanic membrane, indicative of Acute Otitis Media. Option b.
Step-by-step explanation:
On initial examination of a 15-month-old child with suspected otitis media, a registered nurse (RN) would anticipate finding symptoms that are indicative of an acute ear infection, which may include irritability, rhinorrhea (nasal discharge), and a bulging tympanic membrane. These symptoms reflect the typical presentation of Acute Otitis Media (AOM), characterized by the accumulation of pus in the middle ear that cannot drain properly. The bulging of the tympanic membrane is due to this buildup of pressure.
Other signs that an infant may exhibit if unable to verbally communicate pain include pulling at the ears, uncharacteristic crying, and showing signs of distress. A bulging tympanic membrane is a significant finding, as it usually indicates the presence of fluid in the middle ear, which is often associated with ear infections. Vomiting and irritability might also be present in children suffering from AOM, due to the discomfort and general illness caused by the infection. Therefore, the correct answer is B) Irritability, rhinorrhea, and bulging tympanic membrane.