A school-aged child is diagnosed with streptococcal pharyngitis.
What should the nurse teach the parents about the care that this child will need at home?
Regular activity level should be encouraged as soon as possible.
Complete the entire course of antibiotics to prevent rheumatic fever.
Expect the lymph nodes to swell and obstruct the airway.
Be aware that the infection may spread and cause a tooth abscess.
The Correct Answer is B
The correct answer is Choice B.
Choice A rationale
Encouraging regular activity level as soon as possible is not appropriate for a child with streptococcal pharyngitis. Rest is important to allow the body to recover and prevent complications.
Choice B rationale
Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever, which can result from untreated or partially treated streptococcal infections.
Choice C rationale
Expecting the lymph nodes to swell and obstruct the airway is not a typical outcome of streptococcal pharyngitis. While lymph node swelling can occur, it usually does not obstruct the airway.
Choice D rationale
Being aware that the infection may spread and cause a tooth abscess is not a common complication of streptococcal pharyngitis. The primary concern is preventing complications like rheumatic fever and ensuring complete recovery. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Turning the child’s head to the side and pressing on the nasal ridge is not the recommended method for managing nosebleeds. This position can cause blood to flow into the throat, leading to swallowing blood and potential vomiting.
Choice B rationale
Sitting the child upright and leaning slightly forward while applying pressure to the sides of the nose is the correct method. This position helps prevent blood from flowing into the throat and allows it to clot more effectively.
Choice C rationale
Having the child lie flat and apply pressure to the cheeks is not effective for stopping a nosebleed. This position can cause blood to flow into the throat, leading to swallowing blood and potential vomiting.
Choice D rationale
Putting the child in bed, elevating the head slightly, and pressing on the forehead is not effective for stopping a nosebleed. The pressure needs to be applied directly to the soft part of the nose to control the bleeding.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Puberty might be delayed if scrotal changes have not occurred by the age of 13½ to 14 years, not 11 years.
Choice B rationale
Changes in the voice occur during puberty but do not signal its beginning. Enlargement of the testicles is the first sign of puberty in boys.
Choice C rationale
Growth spurts in height typically occur toward the end of mid-puberty, making this the correct answer.
Choice D rationale
Gynecomastia, or the development of breast tissue in boys, commonly occurs during mid- puberty, not late puberty. .
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