A nurse is caring for a preschooler with acute nasopharyngitis.
Which information should the nurse include when teaching the parents about this health problem?
Typically, the child will pull the ear when a cold is present.
An antibiotic is prescribed for children younger than 5 years of age.
Healthy children rarely have more than one cold per year.
A cough that accompanies a cold should not be suppressed.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale
While some children may pull their ears when they have a cold, it is not a definitive sign of acute nasopharyngitis. Ear pulling can also indicate other issues such as ear infections.
Choice B rationale
Antibiotics are not typically prescribed for acute nasopharyngitis, as it is usually caused by a viral infection. Antibiotics are only used if there is a secondary bacterial infection.
Choice C rationale
Healthy children can have multiple colds per year, especially if they are exposed to other children in settings like daycare or school. It is not uncommon for children to have several colds annually.
Choice D rationale
A cough that accompanies a cold should not be suppressed as it helps clear mucus from the airways. Suppressing the cough can lead to mucus buildup and potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Encouraging regular activity level as soon as possible is not appropriate for a child with streptococcal pharyngitis. Rest is important to allow the body to recover and prevent complications.
Choice B rationale
Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever, which can result from untreated or partially treated streptococcal infections.
Choice C rationale
Expecting the lymph nodes to swell and obstruct the airway is not a typical outcome of streptococcal pharyngitis. While lymph node swelling can occur, it usually does not obstruct the airway.
Choice D rationale
Being aware that the infection may spread and cause a tooth abscess is not a common complication of streptococcal pharyngitis. The primary concern is preventing complications like rheumatic fever and ensuring complete recovery. .
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
A sputum culture can help identify respiratory infections but is not definitive for diagnosing cystic fibrosis.
Choice B rationale
Stool fat content analysis can indicate malabsorption issues but is not specific to cystic fibrosis.
Choice C rationale
Pulmonary function tests assess lung function but do not confirm a diagnosis of cystic fibrosis.
Choice D rationale
The sweat chloride test is the gold standard for diagnosing cystic fibrosis. It measures the concentration of chloride in sweat, which is elevated in individuals with cystic fibrosis due to defective chloride transport in sweat glands. .
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