Question

While examining a patient with a middle ear infection, the nurse avoids performing middle ear insufflations. What is the rationale behind this intervention?

The patient has an ophthalmic infection.

The patient has a gastrointestinal infection.

The patient has a urinary tract infection.

The patient has an upper respiratory tract infection.

Answer 1

Middle ear insufflations are avoided in a patient with a middle ear infection because this procedure can increase pressure and worsen the infection, especially if linked to an upper respiratory tract infection (option 4).

Step-by-step explanation:

The rationale behind avoiding middle ear insufflations when examining a patient with a middle ear infection is primarily because of the connection between the upper respiratory tract infection and the middle ear infection, commonly known as acute otitis media (AOM). Middle ear insufflations can increase pressure on the eardrum, exacerbating an existing infection or leading to fluid buildup. Since the upper respiratory tract is often colonized by bacteria that can cause opportunistic infections, such as those leading to AOM, it is essential to prevent any practices that might worsen the patient's condition.



The eustachian tubes, which connect the middle ear to the upper respiratory tract, can become blocked due to inflammation from an upper respiratory infection, causing fluid to become trapped and Accumulate in the middle ear and potentially causing a secondary infection. This is especially concerning for young children, due to anatomical and behavioral factors that make them more susceptible to such infections.