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

A.

Regular activity level should be encouraged as soon as possible.

B.

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

C.

Complete the entire course of antibiotics to prevent rheumatic fever.

D.

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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Related Questions

Correct Answer is A

Explanation

A. Testing urine for ketones is important during illness as it can indicate the presence of ketoacidosis, a potentially life-threatening complication in children with type 1 diabetes.

B. Withholding insulin during illness is dangerous, as the body may require more insulin due to increased stress and glucose production.

C. While notifying the provider for high blood glucose levels is essential, it is not the first action to take. Monitoring for ketones is crucial during illness.

D. Limiting fluid intake is not advised during illness, as adequate hydration is important to prevent dehydration and assist in glucose regulation.

Correct Answer is A

Explanation

A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.

B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.

C. Excessive crying is not a specific indicator of coarctation of the aorta.

D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.

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