A client with bacterial tonsillitis has been prescribed erythromycin by their healthcare provider.
The nurse knows that this medication is used for which of the following reasons?
To reduce inflammation and swelling in the tonsils.
To treat bacterial infections by inhibiting protein synthesis in bacteria.
To provide symptomatic relief from throat pain and discomfort.
To prevent dehydration by encouraging fluid intake.
The Correct Answer is B
Choice A rationale:
Erythromycin is an antibiotic that does not primarily target inflammation and swelling in the tonsils.
Its mechanism of action involves inhibiting protein synthesis in bacteria, thereby preventing the growth and spread of the bacterial infection causing tonsillitis.
Choice B rationale:
Erythromycin is used to treat bacterial infections by inhibiting protein synthesis in bacteria.
It is effective against a wide range of bacterial strains and can be prescribed for various infections, including tonsillitis, caused by susceptible bacteria.
Choice C rationale:
Erythromycin does not provide symptomatic relief from throat pain and discomfort directly.
While it addresses the underlying bacterial infection, it does not have analgesic properties to relieve pain.
Pain relief measures, such as acetaminophen or ibuprofen, are typically prescribed for managing throat pain associated with tonsillitis.
Choice D rationale:
Erythromycin does not prevent dehydration by encouraging fluid intake.
While staying hydrated is essential during illness, the role of erythromycin is to target the bacterial infection, not to promote fluid intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Having at least one episode of tonsillitis might not be a sufficient indication for a tonsillectomy.
Tonsillectomy is typically considered for recurrent tonsillitis, not just a single episode.
Choice B rationale:
Tonsillectomy is considered when the child's tonsillitis does not respond to antibiotic therapy and becomes recurrent.
Recurrent tonsillitis can significantly impact a child's quality of life and may necessitate surgical intervention to prevent frequent infections and complications.
Choice C rationale:
Mild throat discomfort alone is not a strong indication for tonsillectomy.
Tonsillectomy is usually reserved for cases of recurrent tonsillitis that do not respond to conservative treatments.
Choice D rationale:
The parents' anxiety about their child's condition is not a direct indication for tonsillectomy.
The decision for surgery should be based on the child's medical condition and the medical necessity of the procedure.
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
The child has been having difficulty swallowing.
Difficulty swallowing is a common symptom of tonsillitis.
Inflamed tonsils can make swallowing painful and difficult.
Choice B rationale:
The child has been experiencing ear pain.
While ear pain can be associated with throat infections, it is not a direct symptom of tonsillitis.
Choice C rationale:
The child has a rash on their arms and legs.
A rash is not a typical symptom of tonsillitis.
It could indicate other conditions such as an allergic reaction or viral illness.
Choice D rationale:
The child’s tonsils appear red and swollen.
Red and swollen tonsils are characteristic signs of tonsillitis.
Inflammation of the tonsils is a key indicator of the condition.
Choice E rationale:
The child has been experiencing frequent nosebleeds.
Nosebleeds are not typically associated with tonsillitis.
They could be due to other factors such as dry air or nasal irritation.
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