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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Free Nursing Study Resources

Correct Answer is ["B","D","E"]

Explanation

A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.

B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.

C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.

D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.

E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.

A. Assisting with racemic epinephrine nebulizer therapy B. Urging the child to continue to take oral fluids C. Teaching the child to take long, slow breaths D. Administering an oral analgesic

Correct Answer is A

Explanation

A. Racemic epinephrine nebulizer therapy is effective in reducing airway inflammation and aiding bronchodilation in croup.

B. While oral fluids are important for overall hydration, they do not directly address the bronchodilation needed for croup.

C. Long, slow breaths can be helpful but are not as directly effective as nebulized medications in managing croup symptoms.

D. Oral analgesics address pain but do not contribute to bronchodilation.

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

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has mild persistent asthma. Which of the following is an expected finding? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?

Correct Answer is A

Explanation

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