A 4-year-old child is brought to the emergency room with a fever, sore throat, and difficulty swallowing. The nurse suspects streptococcal pharyngitis. What is the appropriate intervention?

Administer a broad-spectrum antibiotic

Administer an antiviral medication

Perform a throat culture or rapid strep test

Administer a pain reliever and observe

Answer and Explanation

The Correct Answer is C

A. Administering a broad-spectrum antibiotic without confirmation of streptococcal infection is not appropriate and can contribute to antibiotic resistance.

B. Antiviral medications are not effective against bacterial infections such as streptococcal pharyngitis.

C. Performing a throat culture or rapid strep test is the appropriate intervention to confirm the diagnosis of streptococcal pharyngitis. If positive, antibiotic treatment can be initiated.

D. Administering a pain reliever can provide symptomatic relief but does not confirm the diagnosis. Throat culture or rapid strep test is necessary.

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Correct Answer is B

Explanation

A. Administering an antipyretic is not the priority in managing status epilepticus. Controlling the seizure activity takes precedence.

B. Administering intravenous diazepam or lorazepam is the first-line treatment for status epilepticus to stop ongoing seizures.

C. Administering oral phenytoin is not appropriate in the acute management of status epilepticus. Intravenous benzodiazepines are the preferred initial treatment.

D. Administering an antihistamine is not the appropriate intervention for status epilepticus. Intravenous benzodiazepines are used to stop the seizure activity.

A. Administer an antipyretic and observe B. Perform a lumbar puncture and start antibiotics C. Administer an antihistamine and monitor D. Order a head CT scan and observe

Correct Answer is B

Explanation

A. Administering an antipyretic without further evaluation is not appropriate for a suspected case of bacterial meningitis.

B. Performing a lumbar puncture to analyze cerebrospinal fluid and starting antibiotics is the standard intervention for suspected bacterial meningitis.

C. Administering an antihistamine is not the appropriate intervention for bacterial meningitis, which is a bacterial infection of the meninges.

D. Ordering a head CT scan is not the first-line diagnostic test for suspected bacterial meningitis. A lumbar puncture is the diagnostic procedure of choice.

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A 4-year-old child is brought to the emergency room with a fever, sore throat, and difficulty swallowing. The nurse suspects streptococcal pharyngitis. What is the appropriate intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child in status epilepticus. What is the priority action by the nurse?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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