The nurse is caring for a 2-year-old with acute otitis media. Which of the following instructions for reducing the risk for developing otitis media should be included in the teaching plan for this child's parents?

Avoid contact with people who have upper respiratory infections


• Acute otitis media generally follows a respiratory infection. To reduce the risk of developing otitis media, it is important to avoid contact with people who have upper respiratory infections.

• Inflammation of the middle ear is the most prevalent disease of childhood after respiratory infections.

Incorrect options:

• The supine position is not recommended for feeding. There is a higher incidence of acute otitis media in formula-fed infants than in those who are breastfed in part because of the more supine position that formula-fed infants are held in while feeding. This allows milk to enter the Eustachian tube.

• Most cases of acute otitis media are caused by bacteria, not a virus, and are treated with antibiotics such as amoxicillin. If the infection is viral, antivirals are reserved for severe cases only.

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