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.
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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Related Questions
Correct Answer is D
Explanation
A. Implement a fluid restriction during times of infection: This is not a recommended practice for cystic fibrosis. In fact, cystic fibrosis patients often need increased fluid intake, especially during infection, to help thin mucus secretions and stay hydrated.
B. Provide a low-calorie, low-protein diet: This is incorrect. Children with cystic fibrosis typically have a high-calorie, high-protein diet to support growth and energy expenditure, as they have trouble absorbing nutrients.
C. Restrict physical activities: This is not correct. Children with cystic fibrosis should engage in physical activity to help with lung function and overall health. Physical activity should not be restricted unless there are specific complications.
D. Administer pancreatic enzymes with meals and snacks: This is correct. Children with cystic fibrosis often have pancreatic insufficiency and need to take pancreatic enzymes with meals and snacks to help digest food and absorb nutrients.
Correct Answer is D
Explanation
A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.
B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.
C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.
D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.
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