A school-aged child is diagnosed with streptococcal pharyngitis.
What should the nurse teach the parents about the care that this child will need at home?

Regular activity level should be encouraged as soon as possible.

Complete the entire course of antibiotics to prevent rheumatic fever.

Expect the lymph nodes to swell and obstruct the airway.

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

Answer and Explanation

The Correct Answer is B

The correct answer is Choice B.

Choice A rationale

Encouraging regular activity level as soon as possible is not appropriate for a child with streptococcal pharyngitis. Rest is important to allow the body to recover and prevent complications.

Choice B rationale

Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever, which can result from untreated or partially treated streptococcal infections.

Choice C rationale

Expecting the lymph nodes to swell and obstruct the airway is not a typical outcome of streptococcal pharyngitis. While lymph node swelling can occur, it usually does not obstruct the airway.

Choice D rationale

Being aware that the infection may spread and cause a tooth abscess is not a common complication of streptococcal pharyngitis. The primary concern is preventing complications like rheumatic fever and ensuring complete recovery. .

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Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Placing the child in a knee-chest position helps increase systemic vascular resistance, which reduces the right-to-left shunt and improves oxygenation during a cyanotic spell in children with Tetralogy of Fallot.

Choice B rationale

Having the child lie supine with the head turned to one side does not help in managing a cyanotic spell and may not improve oxygenation.

Choice C rationale

Lying prone does not specifically address the cyanotic spell and may not be the most effective position for improving oxygenation.

Choice D rationale

Placing the child in a semi-Fowler’s position in an infant seat does not specifically address the cyanotic spell and may not be the most effective position for improving oxygenation.

Correct Answer is ["20"]

Explanation

Step 1 is: Calculate the amount of erythromycin ethylsuccinate needed. 800 mg ÷ (200 mg ÷ 5 mL) = 800 mg ÷ 40 mg/mL = 20 mL.

The nurse should administer 20 mL.

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A school-aged child is diagnosed with streptococcal pharyngitis.What should the nurse teach the parents about the care that this child will need at home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:

Correct Answer is A

Explanation

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["20"]

Explanation

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A school-aged child is diagnosed with streptococcal pharyngitis.
What should the nurse teach the parents about the care that this child will need at home?