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.
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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Related Questions
Correct Answer is D
Explanation
A. Visualizing the epiglottis with a tongue depressor is contraindicated in suspected epiglottitis due to the risk of triggering airway obstruction.
B. Transporting the child to radiology for a throat x-ray is not a priority and can delay necessary interventions.
C. Obtaining a throat culture is not appropriate in this situation, as airway compromise can occur quickly, and immediate management is crucial.
D. Placing the child in an upright position helps ease breathing and can alleviate distress, which is vital for a child with suspected epiglottitis.
Correct Answer is A
Explanation
A. Holding breath for 10 seconds after inhaling the medication allows for better absorption of the medication in the lungs, indicating understanding of proper inhaler technique.
B. Taking a quick inhalation is incorrect; the client should take a slow, deep breath to ensure the medication reaches the lungs effectively.
C. Waiting 10 minutes between inhalations is not necessary unless specifically instructed; usually, a second puff can be taken after 1-2 minutes if needed.
D. The client should exhale before inhaling the medication, not while it is being released; exhaling first clears the lungs for a more effective inhalation.
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