"I have a high fever, and I'm shivering.”.

Choice A rationale:

"I have a high fever, and I'm shivering.”.

A high fever with chills indicates a systemic response to infection, which can be seen in severe cases of otitis media.

Fever is a common symptom and can indicate a spreading or worsening infection.

Shivering (rigors) often accompanies a high fever and suggests a significant inflammatory response in the body.

Choice B rationale:

"I feel warm, but I'm not sweating.”.

Feeling warm without sweating may indicate a low-grade fever, which can occur in various infections, including otitis media.

However, this statement does not provide information about the severity of the fever or the child's overall condition.

Choice C rationale:

"I'm sweating a lot, and I'm very tired.”.

Sweating and fatigue can be symptoms of various illnesses, including infections.

Sweating, especially if accompanied by other symptoms like fever, can indicate a fever breaking, but it does not specifically provide information about the severity of the infection or its relationship to otitis media.

Choice D rationale:

"I don't have a fever at all.”.

The absence of fever is not consistent with acute otitis media.

Fever is a common systemic response to infection and inflammation.

In the context of otitis media, the presence of fever indicates a more severe or active infection.