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 D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

A. Antistreptolysin-O (ASO) titer. B. Purified protein derivative test. C. Chest X-ray. D. C-reactive protein.

Correct Answer is B

Explanation

A. The ASO titer is a blood test used to detect streptococcal infections, particularly post-streptococcal sequelae like rheumatic fever or glomerulonephritis. It is not related to tuberculosis.
B. The Purified Protein Derivative (PPD) test, also known as the tuberculin skin test (TST), is specifically used to identify exposure to the tuberculosis bacteria. If a person has been exposed, the immune system will react to the PPD injection, causing a localized skin reaction that can be measured after 48-72 hours.
C. While a chest X-ray is an important tool for diagnosing active tuberculosis or assessing lung involvement, it is not the initial test for determining exposure to TB. It is usually ordered after a positive PPD test or when there are clinical symptoms of TB.
D. C-reactive protein (CRP) is a nonspecific marker of inflammation and infection in the body. It does not specifically indicate exposure to tuberculosis and is not used for TB testing.

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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

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?

Correct Answer is D

Explanation

Which test would the nurse expect the primary care provider to order to look for exposure to tuberculosis?

Correct Answer is B

Explanation

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

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

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

The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?