A 10-month-old child presents to the clinic with irritability, rubbing and pulling at the right ear, and a temperature of 102.4°F.

A 10-month-old child presents to the clinic with irritability, rubbing and pulling at the right ear, and a temperature of 102.4°F. The primary health care provider diagnoses the child with acute otitis media (OM) of the right ear, prescribes broad-spectrum antibiotics, and provides instructions to the parent, who verbalizes an understanding of the treatment plan. The parent later asks the nurse how to prevent future episodes of OM. Which instructions would the nurse reinforce in parent teaching? Select all that apply. Rationale, Strategy Answer Options Ensure the child is not exposed to smoke. Allow the child to have a bottle of milk in bed. Have the child remain in a sitting position while awake. Ask the primary health care provider for preventative antibiotics. Consider avoiding individuals with upper respiratory infections.