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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Loosening restrictive clothing is important for ensuring the child’s comfort and preventing injury, but it is not the immediate priority.

B. Placing a pillow under the child’s head can help prevent head injury during a seizure, but positioning the child is more urgent to prevent aspiration.

C. Positioning the child side-lying is the priority because it helps maintain an open airway and reduces the risk of aspiration of vomit during the seizure. Protecting the airway is the most critical intervention in this scenario.

D. Clearing the area of hazards is important to prevent injury during the seizure, but it is secondary to ensuring the child's airway is protected.

A. Assessing the client's erythematous rash B. Auscultating the rate and characteristics of the child's heart sounds C. Using a pain-rating tool to determine the severity of the joint pain D. Identifying the degree of parental anxiety related to the diagnosis

Correct Answer is B

Explanation

Assessing the erythematous rash is important, as it can indicate the presence of erythema marginatum, a common symptom of rheumatic fever, but it is not the priority.

B. Auscultating the rate and characteristics of the child's heart sounds is the priority assessment because acute rheumatic fever can cause carditis, which affects the heart valves and can lead to serious complications. Early detection of any cardiac involvement is crucial for timely intervention and management.

C. Assessing joint pain is necessary for comfort and symptom management but does not take precedence over potential cardiac complications.

D. Identifying parental anxiety is important for providing emotional support but is not the immediate priority in managing the child's acute condition.

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A school-aged child is diagnosed with streptococcal pharyngitis. What of the following clinical manifestations should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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