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 A
Explanation
A. Avoid a diet consisting of primarily milk: Cow's milk is low in iron and can interfere with the body's ability to absorb iron from other sources. A diet primarily consisting of milk can lead to iron deficiency anemia in young children. Therefore, it's important to offer a variety of iron-rich foods.
B. Limit intake of high-protein foods: High-protein foods are important for growth and development and should not be restricted unless there is a specific medical reason. This recommendation would not be helpful in preventing iron deficiency anemia.
C. Administer fat-soluble vitamins daily: Fat-soluble vitamins (A, D, E, and K) are essential, but they do not play a direct role in preventing iron deficiency anemia. The primary focus should be on iron-rich foods and not supplements unless indicated.
D. Include whole grains and legumes in the diet: Whole grains and legumes are healthy foods that can provide iron, but they are also high in phytates, which can interfere with iron absorption. While they should be part of a balanced diet, they alone are not sufficient to prevent iron deficiency anemia. Iron-rich foods like meat, fortified cereals, and leafy greens should be emphasized.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
