A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

Regular activity level should be encouraged as soon as possible.

Be aware that the infection may spread and cause a tooth abscess.

Complete the entire course of antibiotics to prevent rheumatic fever.

Expect the lymph nodes to swell and obstruct the airway.

Answer and Explanation

The Correct Answer is C

A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.

B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.

C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.

D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.

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Correct Answer is C

Explanation

A. Turning the head to the side is not recommended, as it can cause blood to drain into the throat.

B. Applying pressure to the forehead does not help control nasal bleeding.

C. Sitting upright and applying pressure to the sides of the nose is the correct action to stop the bleeding and prevent blood from going down the throat.

D. Keeping the child flat can increase the risk of blood entering the airway, which can lead to aspiration.

A. "We will sit the child upright and forward and apply pressure to the sides of the nose." B. "We should turn the child's head to the side and press on the nasal ridge." C. "We should put the child in bed, elevate the head slightly and press on the forehead," D. "We should have the child lie flat and apply pressure to the cheeks."

Correct Answer is A

Explanation

A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.

B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.

C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.

D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.

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A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school-aged child develops a nosebleed (epistaxis). Which action should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

Correct Answer is A

Explanation

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