A nurse is developing a care plan for a child with tonsillitis.
Which of the following interventions should be included in the plan? (Select all that apply).
Encourage the child to participate in strenuous physical activities.
Provide pain relief measures, such as acetaminophen or ibuprofen, as prescribed.
Offer cool or warm liquids and soft foods to soothe the throat.
Educate the child and family about the importance of completing prescribed antibiotic therapy.
Discourage rest and promote active play to distract from discomfort.
Correct Answer : B,C,D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Assessing for drooling is important because severe tonsillitis can cause difficulty swallowing, leading to excessive drooling, especially in children.
Drooling indicates difficulty managing oral secretions and can be a sign of airway obstruction, necessitating immediate medical attention.
Choice B rationale:
Assessing for an earache is crucial because the infection from the tonsils can spread to the nearby ear structures, causing ear pain.
Earache in conjunction with other symptoms can indicate the spread of the infection and may require additional medical evaluation and treatment.
Choice C rationale:
Assessing for neck stiffness is important because it can be a sign of meningitis, a serious complication of some bacterial infections, including streptococcal bacteria that can cause tonsillitis.
Neck stiffness, along with other symptoms, can indicate the involvement of the central nervous system and requires urgent medical attention.
Choice D rationale:
Assessing for increased energy levels is not relevant to tonsillitis.
In fact, individuals with tonsillitis often experience fatigue due to the body's immune response to the infection.
Increased energy levels would not be a typical symptom of this condition.
Choice E rationale:
Assessing for vomiting is not a common symptom of tonsillitis.
While individuals with severe throat pain might have difficulty swallowing, leading to decreased oral intake, vomiting is not a direct symptom of tonsillitis.
Vomiting could indicate other underlying issues that need further assessment but is not specifically related to tonsillitis.
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.
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