Which assessment finding should a nurse expect in a client with otitis media?

In a client with otitis media, tugging on the affected ear lobe is a commonly observed behavior, especially in children. This action often indicates discomfort or pain in the ear, as children may instinctively pull or tug at the ear to express their distress or pain. This behavioral response is significant because it reflects the underlying inflammation and pressure change that accompany otitis media, which is often caused by infection in the middle ear.

While pain may also be noted when manipulating the ear lobe, the act of tugging is more indicative of a child's response to ear pain specifically related to otitis media. Clear drainage and erythema of the ear are not typical findings. Clear drainage suggests a different ear condition or an absence of infection, while inflammation of the outer ear or surrounding structures is not a primary characteristic of otitis media itself. Understanding these clinical manifestations can greatly aid in recognizing and managing the condition effectively.