A nurse is explaining to a group of nursing students about the pathophysiology of tonsillitis in children.
She mentions that in bacterial tonsillitis, certain processes occur within the body.
Which of the following statements best describes these processes?
The bacteria colonize the tonsils and trigger an immune response, causing inflammation and swelling.
The bacteria invade the tonsils directly, causing immediate inflammation and swelling.
The bacteria cause an allergic reaction in the tonsils, leading to inflammation.
The bacteria cause a systemic infection that indirectly leads to tonsillitis.
The Correct Answer is A
Choice A rationale:
Bacterial tonsillitis is caused by the colonization of bacteria on the tonsils, triggering an immune response.
When bacteria, often Streptococcus species, invade the tonsils, the body's immune system recognizes them as foreign invaders.
This recognition prompts an immune response, leading to inflammation and swelling of the tonsils.
The immune system releases white blood cells and other substances to fight the infection, causing the characteristic symptoms of tonsillitis, such as sore throat, difficulty swallowing, and fever.
This process is a localized immune response specific to the tonsils and their surrounding tissues.
Choice B rationale:
This choice is incorrect because bacteria do not invade the tonsils directly and immediately cause inflammation and swelling.
The immune response is triggered upon recognition of the bacteria, leading to the inflammation and swelling of the tonsils.
Choice C rationale:
This choice is incorrect because bacterial tonsillitis is not caused by an allergic reaction in the tonsils.
It is primarily a result of a bacterial infection, not an allergic response.
Choice D rationale:
This choice is incorrect because bacterial tonsillitis is a localized infection in the tonsils and does not cause a systemic infection that indirectly leads to tonsillitis.
The infection remains localized in the throat area, causing symptoms specific to the tonsils and nearby lymph nodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale:
The child has been having difficulty swallowing.
Difficulty swallowing is a common symptom of tonsillitis.
Inflamed tonsils can make swallowing painful and difficult.
Choice B rationale:
The child has been experiencing ear pain.
While ear pain can be associated with throat infections, it is not a direct symptom of tonsillitis.
Choice C rationale:
The child has a rash on their arms and legs.
A rash is not a typical symptom of tonsillitis.
It could indicate other conditions such as an allergic reaction or viral illness.
Choice D rationale:
The child’s tonsils appear red and swollen.
Red and swollen tonsils are characteristic signs of tonsillitis.
Inflammation of the tonsils is a key indicator of the condition.
Choice E rationale:
The child has been experiencing frequent nosebleeds.
Nosebleeds are not typically associated with tonsillitis.
They could be due to other factors such as dry air or nasal irritation.
Correct Answer is A
Explanation
Choice A rationale:
The client's symptoms, including sore throat, difficulty swallowing, fever, red and swollen tonsils with white patches, enlarged lymph nodes, bad breath, headache, and abdominal pain, indicate possible tonsillitis, which is often caused by a bacterial infection.
Rest and increased fluid intake are essential components of the care plan for tonsillitis.
Adequate rest helps the body fight the infection, and increased fluid intake helps prevent dehydration, especially if swallowing is painful.
This choice demonstrates the client's understanding of self-care measures to promote recovery.
Choice B rationale:
Continuing to smoke can worsen the irritation of the throat and prolong the healing process.
Smoking irritates the mucous membranes, making it difficult for the throat to heal.
It can also exacerbate the symptoms and delay recovery.
Choice C rationale:
Tonsillitis caused by bacteria often requires antibiotics to clear the infection completely.
Taking antibiotics only when in pain might lead to incomplete eradication of the bacteria, resulting in a recurrence of the infection or complications.
It is essential to take the full course of antibiotics as prescribed by the healthcare provider.
Choice D rationale:
Going to work when experiencing symptoms of tonsillitis not only jeopardizes the client's health but also puts coworkers at risk of contracting the infection.
Resting at home and avoiding contact with others can prevent the spread of the illness.
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