A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

Flaky, peeling skin.

Red bumps across chest.

White coating on tongue.

High, protracted fever.

Answer and Explanation

The Correct Answer is B

A. Flaky, peeling skin (desquamation) occurs in later stages of scarlet fever, typically after the rash begins to fade. It is not an early sign of the disease.
B. A red, sandpaper-like rash that typically begins on the chest and spreads outward is one of the earliest indications of scarlet fever. This rash is caused by exotoxins produced by Streptococcus pyogenes and is a hallmark sign of the illness.
C. A white coating on the tongue, often followed by a characteristic “strawberry tongue,” develops later in the progression of scarlet fever rather than as an early symptom.
D. While fever is a common symptom of streptococcal infections, it is not the earliest indicator of scarlet fever. The rash usually appears within 12 to 48 hours of fever onset, making it a more specific early sign.

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Correct Answer is C

Explanation

A. Straining all urine is not a standard intervention for prostatitis. This is typically done for conditions like urinary stones, where fragments may need to be collected. Prostatitis does not require this intervention.

B. Maintaining contact isolation is unnecessary for prostatitis unless the client has an active infection with a multidrug-resistant organism requiring isolation precautions. Prostatitis alone does not warrant contact isolation.

C. Avoiding urinary catheterization is an essential instruction for a client with prostatitis. Catheterization can exacerbate inflammation and increase the risk of further infection in the prostate gland. Alternative methods for managing urinary retention, such as suprapubic catheterization if necessary, should be considered.

D. Restricting oral fluid intake is not recommended. Adequate hydration is important for clients with prostatitis to help flush the urinary tract, reduce irritation, and promote healing. Restricting fluids could worsen symptoms and delay recovery.

A. Alcohol consumption will not produce vascular changes. B. Sodium intake can be regulated by limiting canned foods in the diet. C. Salt substitutes can help with maintaining a healthy diet. D. Weight management is promoted by taking daily walks for thirty minutes. E. Blood pressure readings should be taken at noontime. F. Uncontrolled hypertension can lead to renal damage.

Correct Answer is ["B","C","D","F"]

Explanation

A. Alcohol consumption can indeed produce vascular changes and contribute to hypertension, making this statement incorrect.
B. Regulating sodium intake by limiting canned foods in the diet is a valid strategy to prevent hypertension.

C. Salt substitutes can be a part of maintaining a healthy diet and may help in reducing sodium intake, which is beneficial for blood pressure control.
D. Weight management through daily walks for thirty minutes is an effective method to prevent hypertension.
E. Blood pressure readings should be taken at various times of the day to assess for fluctuations; noontime is not specifically recommended.
F. Uncontrolled hypertension can indeed lead to renal damage, among other complications, making this a key point for client education.

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A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

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Naxlex Comprehensive Predictor Exams

The nurse is assigning care of a client with prostatitis to a practical nurse (PN). Which instruction should the nurse provide the PN regarding the care of this client?

Correct Answer is C

Explanation

The nurse is educating a client about essential hypertension prevention. Which information should the nurse provide? (Select all that apply.)

Correct Answer is ["B","C","D","F"]

Explanation

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