A client presents to the clinic with a sore throat, difficulty swallowing, and fever.
The nurse observes red and swollen tonsils with white patches, enlarged lymph nodes in the neck, and bad breath.
The client also complains of a headache and abdominal pain.
Which of the following statements by the client indicates an understanding of the care plan?
“I will rest and drink plenty of fluids.”.
“I will continue to smoke to soothe my throat.”.
“I will take antibiotics only when I have pain.”.
“I will go to work since I don’t feel that bad.”..
The Correct Answer is A
Choice A rationale:
The client's symptoms, including sore throat, difficulty swallowing, fever, red and swollen tonsils with white patches, enlarged lymph nodes, bad breath, headache, and abdominal pain, indicate possible tonsillitis, which is often caused by a bacterial infection.
Rest and increased fluid intake are essential components of the care plan for tonsillitis.
Adequate rest helps the body fight the infection, and increased fluid intake helps prevent dehydration, especially if swallowing is painful.
This choice demonstrates the client's understanding of self-care measures to promote recovery.
Choice B rationale:
Continuing to smoke can worsen the irritation of the throat and prolong the healing process.
Smoking irritates the mucous membranes, making it difficult for the throat to heal.
It can also exacerbate the symptoms and delay recovery.
Choice C rationale:
Tonsillitis caused by bacteria often requires antibiotics to clear the infection completely.
Taking antibiotics only when in pain might lead to incomplete eradication of the bacteria, resulting in a recurrence of the infection or complications.
It is essential to take the full course of antibiotics as prescribed by the healthcare provider.
Choice D rationale:
Going to work when experiencing symptoms of tonsillitis not only jeopardizes the client's health but also puts coworkers at risk of contracting the infection.
Resting at home and avoiding contact with others can prevent the spread of the illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Enlarged tonsils might contribute to recurrent tonsillitis, but it is not the primary cause.
Choice B rationale:
Dust and irritants can irritate the throat, but they are not the main reason for recurring tonsillitis.
Choice C rationale:
Your child’s immune system might be deficient, making them more susceptible to infections.
This response is appropriate because a weakened immune system can make a child more prone to recurrent infections, including tonsillitis.
Choice D rationale:
Improper handwashing can lead to various infections, but it is not specifically linked to tonsillitis.
Correct Answer is B
Explanation
Choice A rationale:
Stopping antibiotics once feeling better can lead to incomplete eradication of the infection, allowing remaining bacteria to develop resistance to the antibiotic.
It is essential to complete the full course of antibiotics to ensure complete resolution of the infection.
Choice B rationale:
Finishing all the antibiotics, even if symptoms improve, is crucial to prevent the development of antibiotic-resistant strains of bacteria.
Incomplete courses of antibiotics can lead to treatment failure and potential complications.
Choice C rationale:
While it is important to monitor for and report any side effects of antibiotics, stopping the medication immediately without consulting a healthcare provider can compromise the effectiveness of the treatment.
The nurse should instruct the client to report any adverse reactions for proper evaluation and management.
Choice D rationale:
Sharing antibiotics with others is dangerous and highly discouraged.
Each person's condition is unique, and taking antibiotics without proper diagnosis and prescription can lead to inappropriate use, antibiotic resistance, and potential harm to individuals with allergies or other medical conditions.
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