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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: Encouraging the child to participate in strenuous physical activities is not appropriate for a child with tonsillitis. Strenuous activities can exacerbate symptoms and delay recovery. Rest is important to help the child’s body fight the infection and recover more quickly. Therefore, it is not recommended to promote strenuous physical activities during illness.
Choice B rationale: Providing pain relief measures, such as acetaminophen or ibuprofen, as prescribed, is important for managing the symptoms of tonsillitis. These medications can help reduce pain and fever, making the child more comfortable. Proper pain management is essential to ensure the child's comfort and facilitate recovery.
Choice C rationale: Offering cool or warm liquids and soft foods can help soothe a sore throat, which is a common symptom of tonsillitis. Cool liquids can help reduce throat swelling and irritation, while warm liquids can provide comfort. Soft foods are easier to swallow and less likely to irritate the inflamed throat. This dietary modification can help manage symptoms and promote recovery.
Choice D rationale: Educating the child and family about the importance of completing prescribed antibiotic therapy is crucial in the treatment of bacterial tonsillitis. Completing the full course of antibiotics ensures that the infection is fully eradicated and helps prevent the development of antibiotic-resistant bacteria. This education can lead to better adherence to the treatment regimen and more effective management of the condition.
Choice E rationale: Discouraging rest and promoting active play is not suitable for a child with tonsillitis. Rest is essential for recovery as it helps the body conserve energy to fight the infection. Active play can increase discomfort and fatigue, delaying recovery. Therefore, encouraging rest and avoiding strenuous activities is important for managing tonsillitis effectively.
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