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 B

Explanation

A. Isosorbide dinitrate is a nitrate that helps to dilate blood vessels and reduce the workload on the heart. It is generally safe for clients with asthma.

B. Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.

C. Fluticasone is a corticosteroid commonly used to manage asthma and other respiratory conditions; it is not contraindicated for this client.

D. Captopril is an ACE inhibitor used to treat heart failure and does not pose a risk for clients with asthma.

A. A stool fat content analysis B. Pulmonary function tests C. Sweat chloride test D. A sputum culture

Correct Answer is C

Explanation

A. A stool fat content analysis can indicate malabsorption issues but is not definitive for cystic fibrosis.

B. Pulmonary function tests assess lung function but do not confirm cystic fibrosis.

C. The sweat chloride test is the primary diagnostic test for cystic fibrosis, as it measures the amount of chloride in sweat, which is elevated in this condition.

D. A sputum culture can help identify respiratory infections but does not confirm cystic fibrosis.

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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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