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 D

Explanation

A. Transcranial doppler: This test is used to assess blood flow in the brain and is often used for children with sickle cell disease to evaluate the risk of stroke. It is not used to distinguish between sickle cell disease and trait.

B. Sickle solubility test: This test is used to identify sickling in red blood cells, which can indicate sickle cell disease, but it does not differentiate between sickle cell disease and sickle cell trait.

C. Complete blood count (CBC): While a CBC can provide information about anemia and red blood cell characteristics, it cannot differentiate between sickle cell disease and sickle cell trait.

D. Hemoglobin electrophoresis: This test is the gold standard for diagnosing sickle cell disease and trait. It separates different types of hemoglobin based on their electrical charge, allowing for the identification of hemoglobin S (sickle hemoglobin), which distinguishes between sickle cell disease (homozygous) and sickle cell trait (heterozygous).

A. "Bradycardia is an early indicator of a pneumothorax." B. "Administer a bronchodilator to the child after chest percussion therapy." C. "Engage the child in daily aerobic exercise." D. "A pigeon-shaped chest might become evident as the disease progresses."

Correct Answer is B

Explanation

A. "Bradycardia is an early indicator of a pneumothorax.": Bradycardia is not an early indicator of a pneumothorax. Common signs of pneumothorax in cystic fibrosis include sudden chest pain, difficulty breathing, and decreased breath sounds, not bradycardia.

B. "Administer a bronchodilator to the child after chest percussion therapy.": Chest percussion helps loosen secretions, and bronchodilators should be administered after the therapy to help open the airways and allow the mucus to be cleared more effectively.

C. "Engage the child in daily aerobic exercise.": While exercise is beneficial for children with cystic fibrosis, it should be tailored to the child's physical condition. Aerobic exercise might not be suitable for all children with CF, especially during exacerbations or respiratory distress.

D. "A pigeon-shaped chest might become evident as the disease progresses.": While a pigeon-shaped chest (pectus carinatum) can occur with CF due to chronic lung infections and hyperinflation, it is not the most immediate concern compared to respiratory therapy or infection control.

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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 whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should the nurse expect the provider to prescribe to distinguish whether the infant has sickle cell disease or sickle cell trait?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with the parents of a school-age child who has cystic fibrosis. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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