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.
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 D
Explanation
A. Administering intravenous antibiotics is crucial for treating bacterial meningitis, but isolation is the priority to prevent the spread of infection.
B. Preparing for a lumbar puncture is important for diagnosis, but ensuring the child is isolated to prevent transmission is the immediate concern.
C. Obtaining blood cultures is important for identifying the causative organism but does not take precedence over isolation.
D. Placing the child in isolation is the priority to prevent the spread of bacterial meningitis, which is highly contagious.
Correct Answer is B
Explanation
A. Cromolyn sodium is a preventive medication and should be taken regularly as prescribed, not at the first sign of breathing difficulty.
B. Avoiding triggers that cause an asthma attack is crucial in asthma management and helps in preventing exacerbations.
C. Exercise can be managed in asthma with appropriate medication; it is not necessary to stop activities like basketball. Swimming may be less likely to trigger asthma symptoms but is not a blanket solution.
D. The peak expiratory flow meter should be used regularly, often daily, to monitor asthma control, not just once per week.
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