A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

A red throat and fever.

Pain over the sinus area and purulent nasal drainage.

Foul smelling breath and noisy respirations.

Weak cough and high-pitched noise on respiration.

Answer and Explanation

The Correct Answer is A

A.   This is a classic manifestation of acute pharyngitis, which is often caused by viral or bacterial infections. A red or inflamed throat (erythema) and fever are common symptoms due to the inflammatory response to infection. This choice aligns well with the expected findings in a patient with acute pharyngitis.
B.   This description is more indicative of sinusitis rather than acute pharyngitis. While a person with acute pharyngitis may have some upper respiratory symptoms, significant sinus pain and purulent nasal discharge are not typical manifestations of pharyngitis itself.
C.   Foul-smelling breath (halitosis) can occur in cases of certain infections, but it’s more characteristic of conditions such as tonsillitis or abscesses in the throat rather than typical acute pharyngitis. Noisy respirations may suggest airway obstruction or other complications that are not primary symptoms of pharyngitis.
D.   A weak cough and high-pitched noise (stridor) during respiration are more indicative of upper airway obstruction or croup rather than acute pharyngitis. These symptoms suggest a more severe respiratory condition that involves airway narrowing.

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Correct Answer is ["400"]

Explanation

Total volume = 100 mL

Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)

Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour

Therefore, the nurse should set the IV infusion pump to 400 mL/hour.

A. "Has your child been exposed to any of the usual asthma triggers?" B. "What time did your child's symptoms begin?" C. "When was your child's last dose of medication?" D. "When was your child last admitted to the hospital with asthma?"

Correct Answer is C

Explanation

A. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

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A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

Correct Answer is ["400"]

Explanation

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Correct Answer is C

Explanation

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