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 A

Explanation

A. Administration of an antidote, such as N-acetylcysteine (NAC), is the specific treatment for acetaminophen poisoning if given within the appropriate timeframe after ingestion.

B. Inducing vomiting is not recommended as a first-line intervention for acetaminophen poisoning due to the risk of aspiration.

C. Administering activated charcoal can be considered in certain cases of poisoning, but it is not specific for acetaminophen poisoning.

D. Administering laxatives is not the appropriate intervention for acetaminophen poisoning.

A. Administer an antipyretic B. Administer epinephrine and call for emergency medical assistance C. Offer a cold drink D. Provide a heating pad for comfort

Correct Answer is B

Explanation

A. Administering an antipyretic is not appropriate for anaphylaxis, a severe allergic reaction that requires immediate intervention.

B. Administering epinephrine is the first-line treatment for anaphylaxis. After administering epinephrine, calling for emergency medical assistance is crucial.

C. Offering a cold drink is not the appropriate intervention for anaphylaxis and will not address the life-threatening symptoms.

D. Providing a heating pad is not relevant to the situation and will not address the symptoms of anaphylaxis.

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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

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