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 B

Explanation

A. Ask questions in a vague, nonspecific format: Vague questions can lead to unclear or incomplete answers and may confuse the client. A structured, clear, and respectful approach helps establish trust and encourages more honest responses over time.

B. Begin with questions that are less sensitive in nature: Starting with general or less personal questions helps build rapport and comfort with the client. Once trust is established, the client may feel more at ease discussing sensitive topics like family mental health history or personal concerns.

C. Share personal values to put the client at ease: Nurses should maintain professional boundaries during assessments. Sharing personal values may introduce bias or shift focus from the client’s needs and feelings, making it harder for them to open up.

D. Get the most difficult questions over with first: Jumping into sensitive or emotionally charged questions too early may make the client feel threatened or uncomfortable, especially if the topic is already distressing. A gradual approach helps promote openness and trust.

A. White, curd-like lesions. B. Gingival inflammation. C. Buccal mucosa ulceration. D. Fruity odor of the breath.

Correct Answer is D

Explanation

A. White, curd-like lesions: These are often indicative of oral candidiasis (thrush), a fungal infection that may require antifungal treatment. While it needs follow-up, it is not typically emergent unless the patient is immunocompromised.

B. Gingival inflammation: This suggests gingivitis or periodontal disease and warrants dental evaluation, but it does not pose an immediate systemic risk unless associated with infection or abscess.

C. Buccal mucosa ulceration: Ulcerations can result from trauma, infection, or systemic conditions. They require assessment and possibly treatment but do not usually demand urgent intervention unless severe or rapidly worsening.

D. Fruity odor of the breath: A fruity or sweet breath odor can be a sign of diabetic ketoacidosis (DKA), a life-threatening complication of uncontrolled diabetes. It requires immediate medical attention due to the risk of severe metabolic imbalance and potential for rapid deterioration.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

When assessing a client's mouth, which finding requires immediate follow-up by the nurse?

Correct Answer is D

Explanation

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