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 ["400"]
Explanation
Total volume = 100 mL
Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)
Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour
Therefore, the nurse should set the IV infusion pump to 400 mL/hour.
Correct Answer is B
Explanation
A. Hypertension, or high blood pressure, is a common condition in older adults but is not a specific indicator of pneumonia. While blood pressure can fluctuate with illness, it does not directly relate to the diagnosis of pneumonia.
B. Acute confusion is a critical and relevant sign in older adults with pneumonia. This demographic may experience altered mental status due to factors like hypoxia (low oxygen levels), fever, or dehydration. Confusion is often one of the first signs of infection in older patients, making it a significant assessment finding.
C. Hematemesis, which is the vomiting of blood, is not associated with pneumonia. It typically indicates a gastrointestinal issue, such as bleeding from ulcers or varices, rather than respiratory problems. Therefore, this finding would not be relevant to a pneumonia diagnosis.
D. While a cough is indeed a symptom of pneumonia, a dry hacking cough is less typical. Pneumonia generally presents with a productive cough (producing sputum) rather than a dry cough. A dry cough might suggest conditions like bronchitis or asthma.
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