A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?
Regular activity level should be encouraged as soon as possible.
Be aware that the infection may spread and cause a tooth abscess.
Complete the entire course of antibiotics to prevent rheumatic fever.
Expect the lymph nodes to swell and obstruct the airway.
The Correct Answer is C
A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.
B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.
C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.
D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.
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Related Questions
Correct Answer is B
Explanation
A. Sitting on a nurse's lap leaning forward is a safe position for postural drainage as it promotes drainage from the upper lobes of the lungs.
B. The Trendelenburg position, where the body is laid flat on the back with the feet higher than the head, is contraindicated for infants with cystic fibrosis because it can increase the risk of gastroesophageal reflux and aspiration.
C. The supine position is generally safe but does not facilitate effective postural drainage compared to other positions.
D. Sitting on a nurse's lap leaning backward is safe and can be used for drainage from the anterior lung segments.
Correct Answer is A
Explanation
A. Testing urine for ketones is crucial during illness because it helps in early detection of diabetic ketoacidosis, which can be life-threatening.
B. Withholding insulin is dangerous during illness, as the body may require more insulin, not less.
C. While it is important to notify the provider if blood glucose levels are elevated, monitoring for ketones takes precedence to prevent complications.
D. Limiting fluid intake is not recommended, as fluids are essential for maintaining hydration and helping to manage blood glucose levels during illness.
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