It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

Infectious mononucleosis

Rheumatic fever

Pneumonia

Nasopharyngitis

Answer and Explanation

The Correct Answer is B

A.   Infectious mononucleosis is caused by the Epstein-Barr virus, not by streptococcal bacteria. Therefore, antibiotics for streptococcal pharyngitis would not prevent this illness.
B.   Rheumatic fever is a serious complication that can occur after an untreated streptococcal infection. It can affect the heart, joints, and nervous system. Treating streptococcal pharyngitis with antibiotics effectively reduces the risk of developing rheumatic fever.
C.   While streptococcal bacteria can cause pneumonia, the primary concern with acute streptococcal pharyngitis is rheumatic fever. Pneumonia can be a complication, but it is not the most critical disease to prevent with antibiotics in this context.
D.   Nasopharyngitis, often referred to as the common cold, is typically caused by viruses. Antibiotics would not prevent this condition, as it is not related to streptococcal infections.

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Correct Answer is A

Explanation

A. This is a classic manifestation of acute pharyngitis, which is often caused by viral or bacterial infections. A red or inflamed throat (erythema) and fever are common symptoms due to the inflammatory response to infection. This choice aligns well with the expected findings in a patient with acute pharyngitis.
B. This description is more indicative of sinusitis rather than acute pharyngitis. While a person with acute pharyngitis may have some upper respiratory symptoms, significant sinus pain and purulent nasal discharge are not typical manifestations of pharyngitis itself.
C. Foul-smelling breath (halitosis) can occur in cases of certain infections, but it’s more characteristic of conditions such as tonsillitis or abscesses in the throat rather than typical acute pharyngitis. Noisy respirations may suggest airway obstruction or other complications that are not primary symptoms of pharyngitis.
D. A weak cough and high-pitched noise (stridor) during respiration are more indicative of upper airway obstruction or croup rather than acute pharyngitis. These symptoms suggest a more severe respiratory condition that involves airway narrowing.

A. "We'll take his temperature every 4 hours." B. "We'll give him Tylenol for the pain." C. "We'll discard his toothbrush and buy another." D. "We'll continue to encourage him to drink lots of fluids."

Correct Answer is C

Explanation

A. While monitoring the child’s temperature is important for assessing fever and overall condition, it does not directly prevent the transmission of streptococcal infection. This response does not address methods to prevent spreading the illness to others.
B. Giving Tylenol (acetaminophen) can help relieve pain and reduce fever, which is important for the child’s comfort. However, this response does not address disease transmission prevention. It’s more about symptom management rather than infection control.
C. Discarding the toothbrush is a key infection control measure. Since the toothbrush can harbor bacteria from the throat, it’s essential to replace it after the child has been treated for streptococcal pharyngitis to prevent re-infection and reduce the risk of spreading the bacteria to others.
D. While encouraging fluid intake is important for recovery and can help soothe a sore throat, this response does not specifically address the prevention of disease transmission. It focuses more on the child’s care rather than controlling the spread of infection.

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It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

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Naxlex Comprehensive Predictor Exams

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

Correct Answer is C

Explanation

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