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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
Sitting on a nurse’s lap leaning forward is a position that can be used for postural drainage in infants with cystic fibrosis. This position helps drain secretions from the upper lobes of the lungs.
Choice B rationale
The supine position (lying on the back) is also used for postural drainage to target different areas of the lungs. It is not contraindicated for infants with cystic fibrosis.
Choice C rationale
Sitting on a nurse’s lap leaning backward is another position that can be used for postural drainage. This position helps drain secretions from the lower lobes of the lungs.
Choice D rationale
The Trendelenburg position (lying flat on the back with the feet elevated higher than the head) is contraindicated for infants with cystic fibrosis. This position can increase the risk of gastroesophageal reflux and aspiration, which can worsen respiratory symptoms.
Correct Answer is C
Explanation
The correct answer is C. Give the child acetaminophen for discomfort.
Choice A rationale
Offering clear liquids for the first 24 hours is not necessary after a cardiac catheterization. The child can resume a normal diet as tolerated unless otherwise instructed by the healthcare provider. Clear liquids are typically recommended after procedures involving the gastrointestinal tract to prevent nausea and vomiting, but this is not the case here.
Choice B rationale
Keeping the child home for a week is not required. The child can usually return to normal activities within a day or two, depending on the healthcare provider’s instructions. Prolonged rest is not necessary unless there are complications or specific instructions from the healthcare provider.
Choice C rationale
Acetaminophen is recommended for discomfort because it is effective in managing mild to moderate pain and has a low risk of side effects. It is important to avoid medications that can increase bleeding risk, such as aspirin or ibuprofen, especially after a procedure like cardiac catheterization.
Choice D rationale
Assisting the child to take a tub bath for the first 3 days is not recommended. It is generally advised to avoid submerging the catheter insertion site in water to prevent infection. Sponge baths are usually recommended until the site has healed.
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