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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

A. Rinse and spit after inhalation of the medication. B. Bronchodilators should be administered before steroid inhalers. C. The inhaler should be used on a PRN basis only. D. Frequent oral hygiene is necessary. E. Hold the breath for 10 seconds during inhalation of the medication.

Correct Answer is ["A","B","D","E"]

Explanation

A. Rinsing the mouth and spitting after using a steroid inhaler is essential to prevent oral thrush, a common side effect of inhaled corticosteroids. This practice helps clear residual medication from the mouth and throat, reducing the risk of fungal infections.
B. Bronchodilators, such as short-acting beta-agonists (SABAs), should be used before steroid inhalers. The bronchodilator opens the airways, allowing the steroid to reach deeper into the lungs for better efficacy.
C. While some inhalers (like rescue inhalers) may be used on a PRN basis, steroid inhalers are typically prescribed for regular, daily use to manage inflammation and control chronic conditions like asthma or COPD. They are not intended for PRN use only.
D. Frequent oral hygiene helps to reduce the risk of oral thrush and other oral health issues associated with steroid use. Patients should be encouraged to maintain good oral hygiene practices while using inhaled steroids.
E. Holding the breath for about 10 seconds after inhalation allows for better medication absorption in the lungs. This practice helps maximize the efficacy of the inhaled medication.

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It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

Correct Answer is ["A","B","D","E"]

Explanation

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

What should the nurse include when teaching school-age children about nasopharyngitis?

It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?