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 ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

A. The client's family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative., D. Medications will need to be taken for the rest of the client's life, even if the client feels better.

Correct Answer is B

Explanation

A. This statement is not necessarily true for every situation. While close contacts of a person with active TB may need to be tested and could receive preventive treatment (especially if they are at high risk), not all family members will automatically need to take medications.
B. A standard treatment regimen for active pulmonary TB typically lasts at least 6 months, and sometimes longer, depending on the specific circumstances (e.g., drug resistance, extent of disease). Consistent adherence to the medication regimen is crucial to ensure effective treatment and prevent the development of drug-resistant TB.
C. The Mantoux test (or tuberculin skin test) may remain positive even after successful treatment for TB, as it indicates past exposure rather than active disease. The decision to discontinue medications is based on clinical and microbiological evaluations, not solely on the Mantoux test result.
D. While it is crucial for the client to complete the full course of prescribed medications, they do not need to take them for life. Treatment typically lasts for 6 to 9 months, and clients should not continue medication indefinitely. It is essential to emphasize adherence to the treatment regimen but also to note that it is finite.

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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