It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?
Infectious mononucleosis
Rheumatic fever
Pneumonia
Nasopharyngitis
The Correct Answer is B
A. Infectious mononucleosis is caused by the Epstein-Barr virus, not by streptococcal bacteria. Therefore, antibiotics for streptococcal pharyngitis would not prevent this illness.
B. Rheumatic fever is a serious complication that can occur after an untreated streptococcal infection. It can affect the heart, joints, and nervous system. Treating streptococcal pharyngitis with antibiotics effectively reduces the risk of developing rheumatic fever.
C. While streptococcal bacteria can cause pneumonia, the primary concern with acute streptococcal pharyngitis is rheumatic fever. Pneumonia can be a complication, but it is not the most critical disease to prevent with antibiotics in this context.
D. Nasopharyngitis, often referred to as the common cold, is typically caused by viruses. Antibiotics would not prevent this condition, as it is not related to streptococcal infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is F,D,A,B,E,C
Explanation
F. Inhale deeply and then exhale completely: This ensures that the airways are clear before inhaling the medication.
D. Place her lips firmly around the mouthpiece: A tight seal around the mouthpiece is important to prevent the medication from escaping and to ensure that it reaches the lungs.
A. Breathe in deeply over 2 to 3 seconds while pushing down on the canister: This action releases the medication into the lungs. It's important to inhale slowly and deeply to maximize the delivery of the medication.
G. Hold her breath for 10 seconds: Holding the breath allows the medication to settle into the lungs, increasing its effectiveness.
E. Exhale slowly through pursed lips: Exhaling slowly helps to prevent the medication from being exhaled too quickly and reduces the risk of irritation to the airways.
C. Wait 60 seconds between each puff: If more than one puff is prescribed, waiting 60 seconds between puffs allows the medication from the first puff to settle into the lungs before inhaling the second puff.
Correct Answer is B
Explanation
A. Long-acting beta2-adrenergic agonists (LABAs) are used for the maintenance treatment of asthma but are not suitable for immediate relief during an acute exacerbation. They take longer to take effect and are used as part of a long-term management plan rather than a rescue plan.
B. Short-acting beta2-adrenergic agonists (SABAs), such as albuterol, are the first-line treatment for acute asthma exacerbations. They work quickly to relax the muscles around the airways, providing immediate relief of bronchospasm and improving airflow. This is why they are referred to as "rescue" medications.
C. Mucolytics are used to thin and loosen mucus in the airways, which can be helpful for conditions involving thick mucus. However, they are not used for immediate relief of asthma symptoms and do not address bronchospasm directly. They are not appropriate as a first-line treatment in an acute asthma attack.
D. Inhaled corticosteroids are used for long-term control of asthma by reducing inflammation in the airways. While they are important for ongoing management, they do not provide immediate relief during an acute asthma exacerbation and should not be used as rescue medication.
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