A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis. What is the nurse's best response?

"You can give your child acetaminophen (Tylenol) every 4-6 hours as needed for pain."

"You will need to scheduled a follow-up appointment in 2 weeks"

"You will need to give your child a prescribed antibiotic for 10 days

"You can place warm towels around your child's peck for comfort

Answer and Explanation

The Correct Answer is A

A. "You can give your child acetaminophen (Tylenol) every 4-6 hours as needed for pain."

Option A is the most appropriate response because it addresses pain management, which is a common symptom in cases of tonsillitis. Acetaminophen can be used to provide relief from pain and fever, which are often associated with viral tonsillitis. However, it's important for the parent to follow the dosing instructions on the medication label and consult with their healthcare provider if they have any concerns or if the child's condition worsens.

Option B ("You will need to schedule a follow-up appointment in 2 weeks") is also not the best initial response, as it doesn't address immediate care at home for the child's comfort and pain relief.

Option C ("You will need to give your child a prescribed antibiotic for 10 days") is not the correct approach, as antibiotics do not treat viral illnesses. Viral tonsillitis is usually caused by a viral infection, and antibiotics are not effective for viral infections.

Option D ("You can place warm towels around your child's neck for comfort") can provide some comfort but is not the primary treatment for viral tonsillitis. It may help alleviate discomfort, but pain relief with acetaminophen is typically more effective.

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Correct Answer is D

Explanation

Option A, "Fatigue," is a symptom of anemia but is not a long-term complication associated with Thalassemia major.

Option B, "Deferoxamine usage," is a treatment to manage iron overload and not a complication associated with Thalassemia major.

Option C, "Immunosuppressive therapy," is not typically used to manage Thalassemia major and is not a long-term complication but rather a potential treatment for certain cases of thalassemia.

Option D. Hemochromatosis/Hemosiderosis

Thalassemia major is a genetic disorder that results in the body's inability to produce enough hemoglobin, leading to severe anemia.

To manage this condition, frequent blood transfusions are required, which can lead to iron overload in the body. Excess iron gets deposited in various organs and tissues, causing damage.

Hemochromatosis or hemosiderosis is a condition characterized by the accumulation of iron in organs like the liver, heart, and endocrine glands, which can result from repeated blood transfusions.

The complications associated with iron overload include liver damage, heart problems, diabetes, and more. Treatment with iron chelating agents like deferoxamine is often necessary to remove excess iron from the body.

A. Fatigue B. Generalized edema C. Pallor D. Jaundice E. Multiple bruises

Correct Answer is ["A","C","E"]

Explanation

A. Fatigue: Children with ALL often experience fatigue and weakness due to decreased red blood cell and platelet production as a result of bone marrow involvement by leukemia cells.

C. Pallor: Pallor, or paleness, is a common finding in children with ALL because of anemia (reduced red blood cell count).

E. Multiple bruises: Children with ALL may have an increased tendency to bruise and bleed due to low platelet counts, making them susceptible to easy bruising and petechiae.

The other options, B (Generalized edema) and D (Jaundice), are not typical clinical findings associated with ALL. Generalized edema is not a common symptom, and jaundice (yellowing of the skin and eyes) is more commonly associated with liver conditions, not leukemia.

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A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A long-term complication sees in Thalassemia major are associated to which of the following?

Correct Answer is D

Explanation

A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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