What preventive measure should a nurse recommend for children with frequent otitis media?

For children with frequent otitis media, recommending smoke-free environments is crucial because exposure to secondhand smoke has been linked to an increased incidence of ear infections. Smoke can irritate the respiratory tract and Eustachian tube, leading to inflammation and fluid buildup in the middle ear, which creates an environment conducive to infections. By ensuring that children are in smoke-free surroundings, the likelihood of developing otitis media can be significantly reduced, promoting better ear health overall.

In contrast, avoiding exposure to allergens may be helpful for children with specific allergies but does not directly address the common causes of otitis media. Regular hearing screenings are essential for monitoring any potential hearing loss due to otitis media, but they don't prevent the occurrence of the infections themselves. The routine use of decongestants can sometimes provide symptomatic relief but is not generally recommended as a preventive strategy for ear infections, as its efficacy in preventing otitis media is limited. Thus, maintaining a smoke-free environment stands out as the most effective preventive measure.