A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

Replace the child's toothbrush after 24 hr on antibiotics.

Keep the child home from school for at least 1 week.

Avoid the use of warm compresses around the head or neck.

Intramuscular injections will be required monthly.

Answer and Explanation

The Correct Answer is A

A. It is recommended to replace the child's toothbrush after 24 hours of starting antibiotics to prevent reinfection or spreading the bacteria.

B. A child with acute group A B-hemolytic streptococci should remain home from school until they have been on antibiotics for at least 24 hours, not for a full week, to reduce the risk of spreading the infection.

C. Warm compresses may be used to alleviate discomfort associated with sore throats or swollen glands; there is no contraindication to their use in this context.

D. Intramuscular injections are not a standard treatment for this condition; antibiotics are typically administered orally unless there are complications requiring different management.

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Correct Answer is ["C"]

Explanation

A. The meningococcal (MCV4) vaccine is typically recommended for preteens and adolescents, usually starting at age 11.

B. The hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months, so a 4-year-old may already have received this vaccine.

C. The varicella (VAR) vaccine is recommended for children at ages 12-15 months and again at 4-6 years, making it appropriate for a 4-year-old child.

D. The Haemophilus influenza type b (Hib) vaccine is usually given to children in a series before 5 years of age, but it is more commonly completed by age 2-3 years. The 4-year-old may already be up to date with this vaccine.

A. A child who is visibly anxious and withdrawn while in the hospital B. A child whose vital signs are stable whose parent expresses concerns about the disruption to the child's routine C. A child who is experiencing stomach pain without an apparent cause D. A child who is exhibiting aggressive behavior towards peers and healthcare providers

Correct Answer is D

Explanation

A. While anxiety and withdrawal are concerning, they may not require immediate intervention compared to behaviors that pose risks to the child or others.

B. A stable child with a concerned parent may benefit from reassurance and support, but they do not require urgent intervention.

C. Stomach pain without an apparent cause should be assessed, but it may not be as urgent as aggressive behavior that can harm others.

D. A child exhibiting aggressive behavior poses a risk to themselves and others, necessitating immediate assessment and intervention to ensure safety and manage the behavior effectively.

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A nurse is providing teaching to a parent of a child who has acute group A B-hemolytic streptococci. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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