A client with Streptococcus pharyngitis reports high fever, difficulty swallowing and a muffled voice. Which complication should the nurse suspect?

Nasal polyps.

Laryngeal polyps.

Foreign body obstruction.

Peritonsillar abscess.

Answer and Explanation

The Correct Answer is D

A. Nasal polyps: Nasal polyps are soft, noncancerous growths in the nasal passages or sinuses, often linked to chronic inflammation, asthma, or allergies. They do not cause sore throat, fever, or difficulty swallowing, and are not associated with strep pharyngitis.

B. Laryngeal polyps: Laryngeal polyps typically present with hoarseness due to vocal cord involvement but are not associated with high fever, painful swallowing, or infections like streptococcal pharyngitis. They are usually non-infectious and develop gradually.

C. Foreign body obstruction: A foreign body obstruction causes sudden onset symptoms such as choking, coughing, or respiratory distress. This does not align with a progressive infectious presentation like fever and muffled voice, which suggests a localized infection.

D. Peritonsillar abscess: A peritonsillar abscess is a common complication of untreated or severe streptococcal pharyngitis. It presents with high fever, difficulty swallowing (dysphagia), muffled or "hot potato" voice, and unilateral throat pain due to pus collection near the tonsils.

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Correct Answer is D

Explanation

A. A dark line of pigmentation occurs along the midline of the abdomen: This refers to linea nigra, which is more commonly associated with hormonal changes during pregnancy rather than puberty. It is not a typical sign of puberty in adolescent females.

B. Weight gain becomes obvious as the hip circumference increases: While changes in body shape and fat distribution occur during puberty especially with increased fat around the hips and thighs, it is usually a gradual process and not the first noticeable sign.

C. The areolar color of the nipples changes from pink to dark brown: Areolar pigmentation may darken with puberty in some individuals, but it varies by skin tone and is not a reliable or universal first sign of puberty.

D. The development of breast buds will form under the nipples: The appearance of breast buds or thelarche, small, firm lumps form under the nipples, which can sometimes be tender, is typically the first visible sign of puberty in girls, usually occurring around ages 8–13. It signals the beginning of hormonal changes and physical development.

A. Right breath sounds louder than left. B. Slight crackling throughout lung fields. C. Faint whistling over both lung bases. D. Blowing, hollow sounds above sternum.

Correct Answer is D

Explanation

A. Right breath sounds louder than left: While there might be slight variations, breath sounds should generally be equal in intensity on both sides of the chest. Breath sounds should be relatively equal bilaterally. Asymmetry in sound intensity can indicate consolidation, obstruction, or a pneumothorax.

B. Slight crackling throughout lung fields: Crackles (rales) are abnormal sounds typically associated with fluid in the alveoli, as seen in conditions like heart failure, pneumonia, or pulmonary fibrosis. They are not a normal finding in healthy lung tissue.

C. Faint whistling over both lung bases: Whistling or high-pitched sounds suggest wheezing, often caused by narrowed airways due to asthma, bronchitis, or other obstructive airway diseases. This is considered an abnormal finding.

D. Blowing, hollow sounds above sternum: These describe bronchial breath sounds, which are normally heard over the trachea and manubrium (above the sternum). They have a blowing, hollow quality and are considered a normal finding in that location.

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A client with Streptococcus pharyngitis reports high fever, difficulty swallowing and a muffled voice. Which complication should the nurse suspect?

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Naxlex Comprehensive Predictor Exams

The school nurse is teaching a group of female students about the female reproductive system. A student asks how she will know she is starting puberty. Which information should the nurse discuss?

Correct Answer is D

Explanation

Which assessment finding, obtained during chest auscultation, should the nurse consider a normal finding?

Correct Answer is D

Explanation

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