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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Used in the treatment of cystic fibrosis to help break up thick secretions: Prednisone is not used to treat cystic fibrosis. Drugs like dornase alfa are used for this purpose, not corticosteroids.
B. Used for the prophylactic treatment of asthma/allergies: Prednisone is not typically used for the prophylaxis of asthma or allergies. It may be used for acute exacerbations but is not for long-term control.
C. Used to treat hypertension and edema: Prednisone is not used to treat hypertension or edema directly. Corticosteroids like prednisone can sometimes increase blood pressure and cause fluid retention as side effects.
D. Used to treat inflammation and swelling: Prednisone is a corticosteroid used to reduce inflammation and swelling in conditions such as asthma, arthritis, and other inflammatory disorders.
Correct Answer is B
Explanation
A. Cyanosis with crying: Cyanosis is typically seen in cyanotic heart defects, not in PDA, which is acyanotic.
B. Machine-like murmur: Characteristic of PDA due to continuous blood flow between the aorta and pulmonary artery.
C. Chronic hypoxemia: PDA usually leads to left-to-right shunting, not hypoxemia.
D. Weak pulses: Pulses are typically bounding due to increased blood flow, not weak.
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