A nurse is reinforcing teaching with a parent of a child who has acute group A ẞ-hemolytic streptococci. Which of the following instructions should the nurse include in the teaching?

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

Intramuscular injections will be required monthly.

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

Replace the child's toothbrush after 24 hr of taking antibiotics.

Answer and Explanation

The Correct Answer is D

A. Keep the child home from school for at least 1 week: The child should stay home for at least 24 hours after starting antibiotics, not 1 week, to prevent spreading the infection.

B. Intramuscular injections will be required monthly: This is incorrect. Monthly intramuscular injections of penicillin are used for prophylaxis to prevent rheumatic fever, not for the treatment of acute group A β-hemolytic streptococcal infections.

C. Avoid the use of warm compresses around the head or neck: Warm compresses are not contraindicated for sore throats associated with group A strep infections unless there is an abscess or specific complication. This statement is not relevant.

D. Replace the child's toothbrush after 24 hours of taking antibiotics: The toothbrush should be replaced after 24 hours to prevent re-infection, as the child may still have bacteria in their mouth that can reintroduce the infection.

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Correct Answer is C

Explanation

A. Lack of adequate ventricle strength to pump blood to the body: While right ventricular hypertrophy is part of Tetralogy of Fallot, the primary cause of fatigue is inadequate oxygenation, not muscle strength.

B. Restricted blood flow leaving the heart: This contributes to low oxygen levels but isn’t the direct reason for fatigue; the issue lies in oxygen availability for metabolism.

C. Inadequate oxygenation for supporting energy metabolism: The structural defects cause reduced oxygen delivery to tissues, leading to fatigue during activities like feeding.

D. Increased circulation pressure to the lungs: Pulmonary stenosis reduces blood flow to the lungs, but this doesn’t directly explain fatigue from eating.

A. Hoarseness B. Barky cough C. Drooling D. Paroxysmal attacks of laryngeal spasm at night

Correct Answer is C

Explanation

A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.

B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.

C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.

D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.

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A nurse is reinforcing teaching with a parent of a child who has acute group A ẞ-hemolytic streptococci. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has Tetralogy of Fallot and notes that the infant is easily fatigued when eating. The nurse should recognize that the infant's fatigue is caused by which of the following?

Correct Answer is C

Explanation

A nurse is caring for a pre-school age child who has croup. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is C

Explanation

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