A 3-Year-Old Child with Pressure-Equalizing Tubes (PET) in Both Ears

A 3-year-old child with pressure-equalizing tubes (PET) in both ears has otalgia in one ear. The primary care pediatric nurse practitioner is able to visualize the tube and does not see exudate in the ear canal and obtains a type A tympanogram. What will the nurse practitioner do?

A) Order ototopical antibiotic/corticosteroid drops.
B) Prescribe a prophylactic antibiotic medication.
C) Reassure the parent that this is a normal exam.
D) Refer the child to an otolaryngologist for follow-up