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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Developing autonomy is typically associated with increased independence and exploring new skills, not behaviors seen in a distressed or hospitalized child.
B. While anxiety may be present, the behavior of turning away and thumb-sucking more strongly suggests regression.
C. Resentment toward the mother would not typically result in the described behavior of thumb-sucking and turning away from the nurse.
D. Regression is when a child reverts to earlier behaviors, such as thumb-sucking, as a coping mechanism in response to stress or separation from the primary caregiver.
Correct Answer is B
Explanation
A. Budesonide is an inhaled corticosteroid used for long-term control, not for acute attacks.
B. Albuterol is a short-acting beta agonist (SABA) used as a first-line treatment for immediate relief during an acute asthma attack.
C. Fluticasone is an inhaled corticosteroid for long-term control and prevention, not for acute relief.
D. Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not for acute asthma attacks.
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