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 ipecac syrup to induce vomiting is no longer recommended as a first-aid measure for poisoning. The Poison Control Center should be consulted first for guidance.

B. Calling the Poison Control Center is the first action to take in case of suspected poisoning. They provide expert guidance on managing poisoning cases.

C. Administering activated charcoal can be done under the guidance of the Poison Control Center, but it is not the first action to take.

D. Performing abdominal thrusts is used for foreign body airway obstruction, not poisoning.

A. Administering insulin B. Administering a high-sugar snack or drink C. Administering a pain reliever D. Administering a sedative

Correct Answer is B

Explanation

A. Administering insulin is not appropriate for hypoglycemia; it would further lower blood sugar levels.

B. Administering a high-sugar snack or drink is the appropriate intervention for hypoglycemia to raise blood sugar levels quickly.

C. Administering a pain reliever is not the appropriate intervention for hypoglycemia.

D. Administering a sedative is not the appropriate intervention for hypoglycemia and can mask symptoms.

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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

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